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New Patient Info & Forms
Click the link below & follow these easy steps:
1. After clicking the link below, START WITH the “Welcome to Aurora Dental Hygiene” two-page guide.
<The guide explains what Aurora Dental Hygiene is, what we provide, how payment works, and which forms you may need>
2. Complete the forms that apply to you.
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Everyone:
(1) Health History Form
(2) HIPAA Patient Intake Form -
If applicable:
(3a) HIPAA Release Authorization
(3b) Fees & Sliding Scale Eligibility
(3c) BadgerCare/Medicaid Information -
For your records:
Download “HIPAA — Know Your Rights.”
3. Submit your completed forms.
Once your forms are complete, you’re ready for your appointment.
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