Washington DC dentist Michael M. Blicher 20006
Dr. Michael Blicher Facebook
Dr. Michael Blicher Twitter Page
Washington DC dentist 20006
New Patient Forms

The New Patient Form is in Adobe Acrobat (PDF) format. If you do not have Acrobat Reader, get a free copy by clicking on the link below. The Acknowledgement form does not require the reader and will open in a new browser window.

Please print the New Patient Form, fill it out, and bring it with you for your appointment. Please also read the Notice of Privacy Practices.

 

Adobe PDFAdobe ReaderNew Patient Form (Acrobat PDF form)

 

 

 

 

 

 

About Us | Meet Dr. Blicher| Cosmetic Dentistry | Map / Hours | Conditions
Procedures| Latest Technology | Payment/Insurance | New Patient Forms
Contact Us | Make an Appointment | Ask the Doctor

© Copyright 2003 - Dental WebSmith, Inc. and Michael M. Blicher, D.D.S. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

 

Privacy Policy