Call for appointment:

 617.332.2872

825 Beacon Street, Newton MA 02459

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Patient Information Forms

At Flawless Dental, we understand your time is valuable. In order to make your visit more worthwhile, we've included some useful forms that you can download and prepare in advance of your appointment.

Please bring your completed forms to the office at the time of your next appointment. Our friendly registration staff will take it from there.

The following documents are available as printable PDF files using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, download a free copy now from Adobe.

  • Patient Information Form
  • Medical History Form
  • HIPAA Privacy Form
  • HIPAA Acknowledgement Form
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  • Our Doctors

    • Parisa Safaei, DMD
    • Ruhi S. Khanna, DMD MSc
    • Tevyah Dines, DMD
    • Michele Crohin, DMD MMSc
    • Bahram Ghassemi, DMD MSD
    • Golnaz Goodarzi, DMD
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  • Patient Information

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  • contact us

  • FLAWLESS DENTAL
    825 Beacon St
    Newton, MA 02459
    Phone: (617) 332-2872
    Fax: (617) 332-9446
    Email: info@flawlessdental.com

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