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Patient Forms

Patient Forms for Your Southern York Dentist

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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Phone: 717-235-3871

Address: Southern York Smile Care4 S Main StShrewsbury PA 17361

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