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General dentist, Dr Max Thaney

Conveniently located in the village of Brockport, NY

You may preregister with our office by filling out our New Patient Questionnaire and Privacy Acknowledgement. Prior to signing the Privacy Acknowledgement, please read our Notice of Privacy Practices. After you have completed the forms, please make sure to bring them with you on your next visit.

Consent & Disclosure Agreement

Notice of Privacy Policy

Patient Registration Information

Dental & Medical History

 

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To make an appointment call: (585) 637-6884
email us at: info@brockportsmiles.com