Melissa Mullane Padgett, DDS

General Dentist Accepting Children

330.726.6700
info@melissapadgettdental.com

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Forms Forms

Thank you for making an appointment with Dr. Melissa's office for the dental care of your child/children.

Below, you will find the necessary paperwork needed for your first visit. Please print/fill out the forms and bring them to our office prior to your first visit. This will help keep your waiting time down, as well as our postage costs!

Alternatively, you may print the forms, fill them out, scan them and email them to us at info@melissapadgettdental.com.


Below is a copy of our Privacy Policy/HIPAA form. This form does not need to be returned to our office, but is available to you as a resource. This is the same policy in effect at all medical/dental offices.

Privacy Policy HIPAA Form (pdf) - updated 9/2013

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