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Kelly Giera DDS
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Patient Forms
Click on the links below to download our Medical History & Registration Forms:
Patient Login
New Patients Forms
Update For Current Patients Only
HIPPA Privacy Form
Click on the links below to download our Tongue/Lip Tie Patient Forms (under age 2 ONLY):
Informed Consent Form
Patient Information Form
Pregnancy Labor History Form
Preventive Services
Cosmetic Services
Teeth Whitening
Invisalign
Porcelain Veneers
Cosmetic Bonding
Inlays & Onlays
Restorative Services
Implant Restoration
Dental Bridges
Crowns
Full & Partial Dentures
TMJ Treatment
Dental Resources
Dental Blogs
Payments & Insurance