Dental Implants & Periodontal Health of Rochester
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585.685.2005

Patient Portal

Below you may find forms that are frequently used in our practice

New Patient Forms

Notice of Privacy Practices
Health History
Acknowledgement of Privacy Practices
Patient Information and payment policy

Treatment Related Forms

Pre-operative instructions
Scaling and root planing consent form
Periodontal Implant consent form

Care Beyond Your Expectations

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1815 S. Clinton Ave.,

Building 500, Suite 510

Rochester, NY 14618

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Contact Us

P585.685.2005

F585.685.2003

info@DentalImplantsRoc.com

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Mon – Thur: 8am – 5pm

Fri: 8am – 4pm

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