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Dr. White wants you to know that he will miss you all greatly!!!

South Hills Village

412-833-3922 & 304-282-9622

412-833-3922 & 304-282-9622

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    • Home
    • New Patients
      • Forms
      • Office Visits
    • Directions
    • Meet Our Doctor
    • AAO - Emergencies at Home

EN

  • Home
  • New Patients
    • Forms
    • Office Visits
  • Directions
  • Meet Our Doctor
  • AAO - Emergencies at Home

South Hills Orthodontics

South Hills OrthodonticsSouth Hills OrthodonticsSouth Hills Orthodontics

South Hills Orthodontics

South Hills OrthodonticsSouth Hills Orthodontics

New Patient Forms

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1

1

Print the forms from the list below. 

2

1

1

Complete forms to the best of your ability. 

3

1

3

Bring completed forms to the office for your first appointment. 

Forms:

Patient Aquaintance Form (pdf)

Download

Patient Health Consent Form (pdf)

Download

Insurance Form (pdf)

Download

HIPPA Notice READ ONLY (pdf)

Download

Copyright © 2018 South Hills Orthodontics - All Rights Reserved.

  • Forms
  • Directions
  • Meet Our Doctor
  • AAO - Emergencies at Home

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