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Medical & Dental History Form
Hello!
Thank you for your interest in an orthodontic consultation with Dr. Mir. Please complete this form before your consultation appointment. The information you provide will remain absolutely confidential and it is intended to help us give you or your child the smile you've been waiting for.
Thank you,
York Orthodontics Team
https://www.google.com/work/apps/terms/2015/1/hipaa_baa.html
http://yorkortho.ca/privacy-policy/
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