New Patient Registration Forms
We attempt to see you at your appointed time as much as possible since we believe your time is as valuable as ours. Below you will find links to our secure server where you may fill out your New Patient Forms in the security and privacy of your own home prior to your visit with us. As an added precaution, any information you provide is encrypted and password-protected for your protection.
We prefer that you fill out the information on-line. This way, we know that your information will be at our office prior to your arrival. Past experiences show us that folks forget to bring the paperwork, and have to fill out all new paperwork at the office. This seems to frustrate patients and adds an unnecessary level of stress when patients attempt to fill out the paperwork and still be on time for their appointment.
Secure forms for Adults
Secure forms for Children
To view our HIPAA notice of privacy, please click here.
If you prefer to download and print paper forms to fill out prior to your visit, click here. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.
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6842 Douglas Boulevard, Suite K
Douglasville, Georgia 30135
Phone: 770-949-1005
Fax: 770.949.1006
Email: info@DrJoeHair.com
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Dr. Hair is a Douglasville general and cosmetic dentist who welcomes new patients from all over the Atlanta area, including Douglasville, Villa Rica, Carrollton, Breman, Hiram, Dallas, Lithia Springs, and Newnan. This page provides New Patient Forms information, but if you have any questions, please send us a Contact Us message or call us at 770-949-1005, and we will be happy to provide you with and answer.
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