Forms

You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.  You may also choose to email the forms to [email protected] or fax them to
434-239-9158.


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Children’s Dental Health of Lynchburg

  • Children’s Dental Health of Lynchburg - 7802 Timberlake Rd., Lynchburg, VA 24502 Phone: 434-239-6948

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