New Patient Forms

Thank you for choosing Highland Dental Center.
Please click on the links below to view and print our new patient forms.


n Welcome - Identification Form

n Our Policy of Care and Payment

n Notice of Privacy Practices

n Acknowledgement of Receipt of Notice of Privacy Practices

Mutual Agreement


If you are unable to access the New Patient Forms you may need to download Adobe Acrobat Reader.
You can download it by clicking the image below.

 

 

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Highland Dental Center
1001 Gibson Bay Drive, Ste. 202
Richmond, KY  40475
859-625-0204
859-625-5223  Fax

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