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PATIENT FORMS

Download and pre-fill out your forms to limit your time in the waiting room.  Also, when you complete your forms prior to any appointments, it helps to reduce risk of COVID-19 due to less time in and around others.

NEW PATIENT PAPERWORK

Please download, fill out and return either by email or at your appointment

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medical history form

A medical history form must be filled out annually and updated every visit to ensure your well being

Records request form

A records request form must be filled out when requesting records to and from our office

HAVE QUESTIONS?

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Email us, chat with us, or call.  We are here to help anyway that we can!

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505-830-9081

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Copper Canyon Family Dentistry

6830 Montgomery Blvd NE, Ste A

Albuquerque, NM 87109

(505) 830-9081

© 2022 Copper Canyon Family Dentistry

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