Michael J. Dionise DDS downtown Lansing Dentist - Patient Consent Form ( HIPAA ) - Lansing, MI
Michael J. Dionise DDS - Partners in Dental Health
  So that we may better serve you, the office of Michael J. Dionise DDS would appreciate it if you print and complete this form before your appointment.
Please also print and complete the 2 health history forms and new patient registration.
hipaa.tif (TIF — 2 MB)
Please print, read and sign before your appointment.
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