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New Patient Registration

At Flat Creek Family Dentistry, we are dedicated to our patients care and comfort.  We are available to help you with scheduling appointments, questions regarding insurance, and our financial policy and payment options. 

 

To assist with your visit, please print and complete the forms below and bring them to your appointment:

Patient Registration Form

Medical History Form

Financial Agreement Form

Hippa Notice of Privacy Practices Form

Assignment of Benefits 

Family Dentists in Peachtree City, Newnan, Fayetteville, and surrounding areas | Flat Creek Family Dentistry | General Dentists
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