Please Note:
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Download Adobe Reader, free of charge.
Adobe Downloads 
Privacy Policy:
Millennium Dental Privacy Policy PDF - click here
Patient Health Forms (needed for appointment):
Patient Health Form PDF - click here
Please fill out the form as completely as possible If you have any questions,
please contact us.
Use the tab key to move between form fields.
To enter in text, tab to (or click in) the area you wish to type in and begin typing.
To check off choices on the form (yes/no type), click in the boxed or underlined
area and an “x” or check mark should appear.
To print out a copy of the form to retain for your records.
Bring the completed form with you to your appointment.
If you experience difficulty:
Print the form.
Complete with black pen and bring the form to the office at the time of
your appointment.
If you do not have a printer, you can fill out the form at the office prior to
your appointment.
