LaMantia and Mazanek, D.D.S.

For the convenience of our new patients, we have included the forms used regularly in our office on this site. Simply select the form you need and print it.

To navigate through the forms once you have opened a form and printed it, hit your browser back button to return to the Forms page.

Privacy_Practice.pdf 1 Notice of Privacy Practice

Hipaa-Consent.pdf Form

Registration Form

Medical History Form

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