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ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

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Page 1: ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

Page 2: ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

Page 3: ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

Page 4: ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

Page 5: ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

Page 6: ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

Page 7: ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

Page 8: ProSites, Inc.c2-preview.prosites.com/207114/wy/docs/Updated New Patient Pack… · Is the damaged tooth a capped or previously restored tooth? Have you had any of the following?

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