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Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Blossfeld and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download all 3 of our patient forms below. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. You could also fax them to our office at 405-475-9224 or e-mail them to frontdesk@drblossfeld.com prior to your scheduled appointment.  By completing this paperwork ahead of time, we will be able to activate your information into our system and begin your appointment at your scheduled time.    We do ask if you are bringing them with you to please show up 10-15 mintues ahead of time so we keep your appointment running on time.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Patient Registration

Patient Financial Policy

HIPPA Consent
 

Notice of Privacy Practices

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.