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Patient Forms

Paoli PA Dentist

Lenker Dental of Paoli

Please help us be prepared for your first appointment by completing the Medical Dental History forms below. Download the appropriate form below (in PDF format) to your computer, print them out, complete the forms, and bring them with you to your first appointment.

Download HIPPA Form
Download Medical History Form
Download New Patient Consent Form
Download Dental Records Request Form
Download Dental Insurance Form
Meet Your Neighborhood Dentists for Life!
Schedule an Appointment!
Our Hours

Monday 8:15 a.m. to 5:00 p.m.
Tuesday 8:15 a.m. to 5:00 p.m.
Wednesday 8:15 a.m. to 2:30 p.m.
Thursday 8:15 a.m. to 5:00 p.m.
Friday 8:15 a.m. to 5:00 p.m.
Closed on Saturday & Sundays

How To Get Here
Our Location

74 Paoli Pike
Paoli, PA 19301

E: lenkerdental@gmail.com
P: (610) 644-9350

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