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(252) 353-5225

Gamboa Family Dentistry
Andres F. Gamboa DDS

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Patient Forms

New patients: Please fill out the "online" forms. They will be directly and securely transferred to our server and will simplify the data-entry process. If you prefer, you may still do it the old-fashioned way - just make sure you bring them with you.

Online Patient Registration Online Medical History Form Crown and Bridge
Temporary Instructions
Post-Surgical Instructions
Printable Medical History
Form in Spanish
Printable Patient
Registration and Medical
History Form
Records Release From Previous Dentist (Print and FAX to Previous Dentist)

The best compliment you can give us is to recommend us to your friends and family.

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