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Wadsworth Family Dentistry
(330) 335-2525

 

To complete our Health History Update Form: 

1. Open the PDF Health History Update Form below

2. Print the form

3. Complete form 

4. Bring completed form with you at your next visit or email it to BrushAndFloss@live.com

 

Health_History_Update_Form.pdf

Wadsworth Family Dentistry | 1374 Reimer Rd | Wadsworth, OH 44281 | (330) 335-2525