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Additional Patient forms: Please select the appropriate form download and complete. If requested please scan or copy completed forms and email to queensgatedental1@gmail.com
New Patient Registration Forms: Please complete all 6 pages and bring them with you to your appointment or email to queensgatedental1@gmail.com.
If you have xrays at another dental office please contact the office an have them sent by email to us.
Only Brush the ones you want to keep !
queensgatedental1@gmail.com Phone (717) 843 - 8011 Fax (717) 843 - 4414