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East Cobb Dental Care
Dr. Charles Chung DMD, FAGD
Family Dentist Serving East Cobb Marietta, GA
Call: 770-998-5290

Forms

Listed below are the forms our patients fill out during their initial visit. 

You can save time by downloading these forms at home and filling them out before you come into our office.

 

Patient Registration Form (PDF)

Medical History Form (PDF)

Dental History Form (PDF)

Notice of Privacy Practices (HIPAA)