LAKE CITY DENTAL

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844 South Marion Avenue,

Lake City, FL 32025

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(386) 752 8531

A Passion For Perfection

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    LCD Office Financial Policy.pdf
    LCD Office Financial Policy.pdf

    Office Financial Policy

    LCD Insurance Release Form.pdf
    LCD Insurance Release Form.pdf
    LCD Understanding Your Dental Insurance.pdf
    LCD Understanding Your Dental Insurance.pdf
    LCD Form_HIPAA_Revocation_of_Authorization.pdf
    LCD Form_HIPAA_Revocation_of_Authorization.pdf
    LCD Form_HIPAA_Notice_of_Privacy_Practices.pdf
    LCD Form_HIPAA_Notice_of_Privacy_Practices.pdf
    LCD Photography Consent.pdf
    LCD Photography Consent.pdf

    Understanding Your Dental Insurance

    Revocation of HIPAA Authorization Form

    Notice of Privacy

    Insurance Release Form

    Consent to Photography

    © 2016 by Lake City Dental, PA.

    LAKE CITY DENTAL