{"id":51,"date":"2016-03-28T10:57:31","date_gmt":"2016-03-28T14:57:31","guid":{"rendered":"http:\/\/draft.brookdaledentalcare.com\/?page_id=51"},"modified":"2016-07-31T16:43:03","modified_gmt":"2016-07-31T20:43:03","slug":"patient-registration-forms","status":"publish","type":"page","link":"https:\/\/www.brookdaledentalcare.com\/patient-registration-forms\/","title":{"rendered":"Patient Registration Forms"},"content":{"rendered":"
You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.<\/p>\n
New Patients:<\/strong><\/p>\n Patient Paperwork\u00a0Packet<\/a><\/p>\n Other Forms:<\/strong><\/p>\n Acknowledgement of Receipt of Notice of Privacy Practices<\/a><\/p>\n Consent Form to Release Records<\/a><\/p>\n Consent to Retrieve Records<\/a><\/p>\n Consent to Treat a Minor<\/a><\/p>\n Financial Office Policy<\/a><\/p>\n Patient Consent For Use & Disclosure Of Protected Health Information<\/a><\/p>\n