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																General 
										Dentistry  | 
										
										In the beautiful Chesapeake Bay
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										and Implant Center | 
										
										area of the Northern Neck of Virginia | 
									 
									 
								 
									
										
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										Download Forms Page | 
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										These patient forms can be downloaded and filled out at home, saving 
										the time of filling them out in our office. | 
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												| New Patient Information Form | 
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												| Use this 
												form before coming in for your 
												first appointment. | 
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												FFDnewPtForm.pdf | 
											 
											 
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												| Dental 
												Treatment Consent Form | 
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														Use this form to give 
														Dr. Fina consent for 
														dental treatment | 
													 
													
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														and Privacy Practice 
														Policies. | 
													 
												 
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												FFD-Consent4dentalTx.pdf | 
											 
											 
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														Leslie J. Fina, DDS, 
														PhD, | 
													 
													
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														Fellow of the 
														ICOI Implant Society | 
													 
													
														
														
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														Fina Family Dental | 
													 
													
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														P.O. Box 277 | 
													 
													
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														746 Jessie DuPont 
														Memorial Hwy. | 
													 
													
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														Burgess, VA  22432-0277 | 
													 
													
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