| CONTACT INFO: | PATIENT FORMS: |
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| 821 Twyckenham Blvd. Lafayette, Indiana 47909 Phone: 765.477.0331 Email: smiles@allure-dental.com Driving Directions |
We have made our new patient forms available to you as Adobe Acrobat 4.0 files. For your convenience, we recommend printing and completing these forms at home. Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly mail or fax them to you.
If you have difficulty with these forms, your version of Adobe Acrobat Reader (older than V4.0) is out of date, and can be updated via this link. GET ADOBE READER 9.0 |
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| HOURS: | DOWNLOAD PDF FORMS: | |
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| MON - WED | 8:00 am - 5:00 pm |  New Patient Form |
| THUR - FRI | 8:00 am - 3:00 pm | HIPPA Acknowledgement & Consent |
| Office Financial Policy |
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