Office: 623-878-0120
8279
W. Lake Pleasant Pkwy. Ste. 110
Peoria, Arizona 85382
Dr. Linda Raskansky, DMD
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Before visiting our office, take a moment and fill out the necessary patient forms. It makes your visit even more convenient. |
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| Welcome Letter | ||
| Are you a new patient to our office? Take a moment and read our welcoming letter filled with useful information for you as you visit our office for the first time. |
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| Patient Info. / Medical Form | ||
Please fill out this form if you are a new patient or if you need to update your personal or medical information. |
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| Financial Form | ||
| Please fill out this form if you are a new patient or if your insurance has changed since your last visit. |
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| Hipaa Form | ||
| Please take a moment and read about our Privacy Practices and your rights as a patient. | |
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