Patient Forms
Biopsy Consent Form Extraction Consent Form Implant Consent Form Implant Only Pre-Operative – No Units Form Medical History Intake Form New Patient Intake Form Periodontal Flap Surgery Consent Form Pre-Ops Form Sinus Consent Form
Biopsy Consent Form Extraction Consent Form Implant Consent Form Implant Only Pre-Operative – No Units Form Medical History Intake Form New Patient Intake Form Periodontal Flap Surgery Consent Form Pre-Ops Form Sinus Consent Form
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Notice of Privacy Practices This Notice Describes How Medical Information About You May Be Used and Disclosed and How You Can Get Access to This Information. Please Review It Carefully. I. Dental Practice Covered by this Notice This Notice describes the privacy practices of Clifton E. Nakatani, DDS, MSD (“Dental Practice”). “We” and “our” means …
Quality periodontal care is an integral part of our overall health and well-being, yet it can often be overlooked due to concerns about cost. At our practice, we firmly believe that everyone should have access to affordable, exceptional dental services. Understanding that everyone’s financial situation is unique, we have tailored our payment options, financing solutions, …