Patient Forms

Please download the forms below, fill them out, and bring them to your scheduled appointment with Dr. Haywood. Having your forms completed upon check-in ensures a smooth and timely start to your visit with us. If you have any questions about the forms, please call our office at (717) 235-3871.


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Address:
   Southern York Smile Care
   4 S Main St
   Shrewsbury PA 17361