Caring Dentistry in Ashland KY with Dr. William R. Thorner and Marc K. Schneider
 
New Patient Forms

formIf you would like to complete your registration forms before you arrive, you may download blank forms below, or you can fill out your forms online.

 

 



The blank new patient forms are in PDF format. If you do not have Acrobat Reader, get a free copy by clicking on the link below. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

Adobe PDFAdobe ReaderNew Patient Form (Acrobat PDF form)

 

Adobe PDFConsent Form (Acrobat PDF form)

 


Acknowledgement of Receipt of Notice of Privacy Practices
(web page)

 

 

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© Copyright 2005- Dental WebSmith, Inc. and William R. Thorner, DMD, PSC. All rights reserved worldwide. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

 

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