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Santa Fe: (505) 982-6426

Los Alamos: (505) 662-4503

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If you are a new patient, please print and fill out all of the forms, and bring them to your initial appointment. Thank you.

New Patient Information

Patient Insurance Information

Patient Dental Health and Patient Medical History

Consent for Services and Financial Policy

HIPAA Acknowledgement

Consent for Communication

Request for Records

Santa Fe

(505) 982-6426

409 St. Michaels Drive, Suite A
Santa Fe, NM 87505

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Los Alamos

(505) 662-4503

3491 Trinity Drive, Suite A
Los Alamos, NM 87544

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