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Register With Us To Become A Patient
At The Tooth Place Brownsville!
Print Registration Forms
Imprimir Formas de Registro
Register Online
Registrate en Línea
Please click on the “Online Patient Registration Forms” link below to begin our registration process. There are three (3) forms that need completion.
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1. New Patient Information Form
2. New Patient Medical History
3. Authorization to Bring In
Favor de oprimir “Formularios de Registro de Pacientes.” Hay tres (3) formas digitales para llenar.
s1. Información De Paciente Nuevo
s2. Nuevo Paciente- Historial Médico
s3. Autorozacion para trae
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