![[ICO]](/icons/blank.gif) | Name | Last modified | Size | Description |
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![[PARENTDIR]](/icons/back.gif) | Parent Directory | | - | |
![[ ]](/icons/layout.gif) | registration forms2016.pdf | 2016-07-29 13:55 | 354K | |
| referral.pdf | 2010-05-27 12:04 | 194K | |
| privacy forms.pdf | 2016-07-29 13:50 | 207K | |
| privacy.pdf | 2016-07-29 14:01 | 528K | |
| metroreferral.pdf | 2013-03-01 10:17 | 160K | |
| hippa.pdf | 2016-07-29 13:50 | 231K | |
| diagnosticagdo.pdf | 2010-06-01 08:47 | 46K | |
| SuInformationPrivadaDeSalud.pdf | 2010-05-27 09:13 | 625K | |
| Spanish_Pt_Registration.pdf | 2010-06-01 08:47 | 1.0M | |
| SEGURO.pdf | 2010-06-01 08:47 | 1.0M | |
| Root_Canal.pdf | 2013-03-01 10:16 | 917K | |
![[IMG]](/icons/image2.gif) | Root_Canal.jpg | 2013-03-01 10:08 | 453K | |
| RegistroPaciente.pdf | 2010-05-27 09:13 | 522K | |
| PatientRegistration.pdf | 2010-05-27 09:13 | 540K | |
| PRIVACY_FORM2013.pdf | 2013-06-20 13:01 | 43K | |
| PATIENT_REGISTRATION2013.pdf | 2013-06-20 13:00 | 151K | |
| NoticeofPrivacyPractices.pdf | 2010-05-27 09:13 | 701K | |
| NOTICE_OF_PRIVACY_PRACTICES2013.pdf | 2013-06-20 13:00 | 78K | |
| InsuranceInformation.pdf | 2010-05-27 09:13 | 349K | |
| InformationParaLaAsignacionDelSeguro.pdf | 2010-05-27 09:13 | 243K | |
| FinancialInformationForm.pdf | 2010-05-27 09:13 | 354K | |
| EjemplosDeComoSeRevelaSuIPS.pdf | 2010-05-27 09:13 | 327K | |
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