Hagler Dentistry - Family Dentist in Gordo AL

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  • Gordo, Al 35466, info@haglerdentistry.com
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Patient Forms

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Select a Form to Download:

Prior to your first appointment, please take the time to complete the below forms to ensure we can assist you in a timely manner.

Non-Covered Service

Non-Covered Services Policy Online Form

Medical History

Medical History Online Form

Notice of Privacy

Notice of Privacy Practices Online Form

Financial Terms

Financial Policy Online Form

Responsible Party

Responsible Party Online Form

Alabama Dental Code requires the following: No representation is made that the quality of dental services to be performed is greater than the quality of dental services performed by other dentists.
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