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Children’s Dental Centre of York

1399 South Queen Street, Suite A • York, PA 17403
Phone: (717) 741-0848 • Fax: (717) 741-9366
cdcyoffice@gmail.com

Patient Forms

Please complete the patient forms below prior to your appointment at our office. If you have any questions, contact us at 717-741-0848 during our business hours, Monday through Wednesday from 7:30 am to 4:45 pm, and Thursday from 7:30 am to 3:00 pm.

New Patient Information Form HIPAA Notice Power of Consent Form Courtesy Exam Form

Business Hours

Monday 7:30 am – 4:45 pm
Tuesday 7:30 am – 4:45 pm
Wednesday 7:30 am – 4:45 pm
Thursday 7:30 am – 3:00 pm
Friday – Closed
Saturday – Closed
Sunday – Closed