Akron New Dental Patient Forms | Canton New Dental Patient Forms

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New Dental Patient Forms

Dr. George and Dr. Grucella always welcome new patients. If you would like to become a patient of Dr. George and Dr. Grucella, please Contact Us.

For your convenience and preparation for your first appointment with us, you may download and print our New Patient Forms. Simply fill out each of the following forms and bring them with you to your first appointment: 

New Patient Registration Form

Medical History Form

Privacy Policy Form

Financial Policy Form

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Call 1-800-366-4313 or

(330) 733-7911