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Duxbury Dental Associates

Duxbury MA Dental Practice

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Patient Forms

Here are the forms you will need for your first appointment.

  • Welcome to Duxbury Dental Associates
  • Health History Form
  • Consent to Provide Treatment
  • New or Change of Dental Insurance
  • Office Policies (2 – one for yourself and one to sign/date)

Additional Forms

  • Release of Records from Duxbury Dental Associates
  • Request for Release of Records to Duxbury Dental Associates

Please be sure to review, sign and date the above mentioned forms and bring with you to your first appointment. We have provided two Office Policies – one for you to keep for reference.

Again, Thank You for choosing our office to provide your dental care. We look forward to building a long, healthy relationship with you and your family.

The Staff of Duxbury Dental Associates

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Hours of Operation

Monday through Thursday 8-7pm
Fridays 8-2pm
Saturdays 8-1pm (by appointment)

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Duxbury Dental Associates

24 Bay Road, Duxbury
Massachusetts 02332
Phone: (781) 934-2941

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