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Forms

Patient Forms for Dr. Byronn Hahn, Southridge Dental in Henderson, Nevada

Thank you for scheduling an appointment with our office. To better serve you, below are a list of our new patient forms. Feel free to print them out and complete them to the best of your ability. Then, bring them with you to your first appointment along with photo identification and insurance card (if applicable).We look forward to meeting you!

Required forms:

Patient Registration.pdf 

Medical History.pdf

Privacy policy.pdf

Office Policies.pdf

Optional forms:

Insurance acknowledgement.pdf


We offer payment options for your treatments at NO INTEREST! Even a credit line as small as $300 can be applied for. Why pay interest by using your current credit cards. Care Credit and Unicorn Financial's credit lines can be used with any medical,veterinary or dental provider who accepts them.

Below is a list of options available to our patients. Please contact our office with any questions you may have at 702-777-4700 and speak with Jane or Jacque.

CARE CREDIT INSTRUCTIONS.doc


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