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Rogers Dentist Practice Information, AR



Welcome to our office! As a new patient, we strive to make your experience as easy and carefree as possible. Under this menu you will find individual forms to print out to bring with you to your appointment. They are labeled as follows:


Patient Registration

Patient Medical History

Insurance Consent

Patient Consent

Record Release (if applicable)

Secondary Insurance Consent (if applicable)


The other forms listed under the menu are for your convenience and can be printed if you would like a copy of our policies. You do not need to print them off and bring them to your appointment.