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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

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 7:45 am to 4:45 pm, and Thursday from 7:45 am to 3:00 pm.

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