Patient Forms

Time is a valuable commodity. As a dental practice and as professionals, we focus on being as helpful and careful as we can to meet your every need and concern. That is why we have supplied you with the following patient forms.

Health History
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Feel free to download, fill out and bring your patient forms with you on your next visit to our office. We hope that by doing this, we can help you save some time when you get to our office.

Acknowledgement of Privacy Practices
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If you have questions or need assistance completing your forms, or if you would just like to schedule your appointment with our dentists in Mentor, Ohio, Dr. Rusty M. Albrecht, Dr. Chandice A. Richards and Dr. Lundon Albrecht, call Albrecht Family Dentistry at 440-358-0495.