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    Financial Responsibility Form.pdf
    Financial Responsibility Form.pdf
    HIPAA Acknowledgement of Receipt.pdf
    HIPAA Acknowledgement of Receipt.pdf
    HIPAA Notice of Privacy Practices.pdf
    HIPAA Notice of Privacy Practices.pdf
    Medical History.pdf
    Medical History.pdf
    Patient Consent.pdf
    Patient Consent.pdf
    Information Sheet.pdf
    Information Sheet.pdf
    Treat Minors Consent.pdf
    Treat Minors Consent.pdf
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    Quinlan Park Dental

    5145 N. FM 620, Suite G-150

    Austin, TX 78732

     (512) 524-6016