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Hiremath Orthodontics

Dr. Kumar Hiremath
We.will give you a reason to smile

ORTHODONTIC LETTER OF INFORMATION AND consent AGREEMENT

Hiremath Orthodontics

Medical History

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Dental History

Acknowledgment of Receipt of Notice of Privacy Practices and HIPAA Non-Secure Communication Consent Form

Consent for Photography

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Hiremath Orthodontics

Office Policies

Missed Appointments

Tardiness

Broken Brackets

Dental Visits and Cleanings