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Patient Information Form

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Health History Form
In order to better assist you in the registration process, we will need you to fill out these two forms before your first visit to Dr. Maebo’s office. Although it is not mandatory that you have these documents when you arrive, it will speed up the process and help minimize the time before your dental session. Thank you for cooperation and we look forward to seeing you!

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14030 NE 24th Street, Suite 103 | Bellevue, WA 98007 | TEL (425) 644-8485 | FAX (425) 644-8420

Saturday Appointments Available

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