Confidential Dental And Medical History Page 6

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Cancellation Policy
Routine appointments require a 48-HOUR advance notice to reschedule.
is will allow us time to offer your reserved appointment to someone who is waiting for an
appointment and may also be in pain.
We know there are things that happen in life like flat tires, illness, and unforeseen circumstances that
do come up. If you just let us know, we can help another patient with a dental emergency instead.
ank you.
_________________________________________________________________________________
T Y P E N A M E
D AT E
904.262.8409
Bartram Office
Riverside Office
}
13241 Bartram Park Blvd.
501 Riverside Ave.,
Bldg. 1700
Suite 104
Jacksonville, FL 32258
Jacksonville, FL 32202

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