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- Administrative Staff
- Allison Rohling, DDS
- Application for Sliding Fee
- Application for Sliding Fee (Spanish)
- Board of Directors
- Cherie Rowland, LCDC
- Cheryl Lucas, ACNP
- Confidential Reporting
- Consent To Treatment (en)
- Consent To Treatment (sp)
- Covid-19 Emergency Dental Treatment Consent Form
- CUESTIONARIO DE DISPONIBILIDAD DE CITA DENTAL
- CUESTIONARIO DE HISTORIA DE SALUD DENTAL
- David Scott Pool, LPC
- Dawn James, LPC
- Dental Appointment Availability
- DENTAL APPOINTMENT AVAILABILITY QUESTIONNAIRE
- DENTAL HEALTH HISTORY QUESTIONNAIRE
- Dr. Brandon Gilmore, DO
- Dr. Joe Hubbard, MD
- Dr. Paul Livingston,DO
- Dr. Tom Byrd, MD
- Ernest Andy Escobedo, LPC
- Family size and household income (Spanish)
- Family Size and Household Income: English
- Forma De Consentimiento Para Tratamiento Dental De Emergencia COVID-19
- HIPAA Privacy Statement
- HIPAA/PHI Authorization Form: English
- HIPAA/PHI Authorization Form: Spanish
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- Howard Dickey, DO
- Jeanneth Usaga, FNP
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- Klarisa “Krissy” R Posey, APRN
- LETTER OF SUPPORT FOR INDIVIDUALS WITH NO INCOME
- LETTER OF SUPPORT FOR INDIVIDUALS WITH NO INCOME (Spanish)
- Michael Adelowo, PMHNP
- Michael J. Cloy, PA
- Mission and Vision
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- Notice of Deemed Status:
- Olabisi Agbaje, FNP
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- Suzanne Reyes, NP
- Whitney Garland, MPAS, PAC
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