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New Patients

We are pleased to provide our patient forms online. Simply click the link to open the form, print it out, and bring it completed to your first appointment.



 

 2480 Browncroft Blvd

 Rochester, New York 14625

To contact us:

Dr. Cathy Harrison,  DDS                                                  

We Make Smiles Better!

 Phone: 585-381-1695

 Phone: 585-381-2600

 Fax: 585-419-0566

 E-mail: admin@mcharrisondds.com

 

Consent Forms

New Patient Forms

Treatment Consent Form

New Patient Form

Insurance Consent Form

Child New Patient Form

HIPAA Form