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Patient Forms

Sehome Hill, Fall, photo: Chris Coffin

Sehome Hill, Fallphoto: Chris Coffin, coffinart.com

Patient Biography (pdf)
Medical History (pdf)
Financial Policy (pdf)
HIPPA (pdf)

You may either print these forms and fill them out or open them in the free Adobe Acrobat Reader, fill them out with your computer, then print them and bring in with you.

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Dr. Eric N. Wenzel, D.D.S., P.S. - 1101 N. Forest St. #5, Bellingham, WA 98225 | 360-734-2802
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