https://www.bethelfamilydental.com/patient-forms/Fri, 09 Apr 2021 18:30:17 +0000en-USSite-Server v6.0.0-53e01a3c02492167cb1abdbfea14ffc2acc5b564-1 (http://www.squarespace.com)Covid-19Legwork WebsitesMon, 20 Jul 2020 21:03:01 +0000https://www.bethelfamilydental.com/patient-forms/covid-19-pre-screen605a5296db224449aae76c5a:60709d2a7e1bfc341dd8acb6:60709d2d6a3d1f17d85de9e8 Return to Menu ]]>Patient InformationLegwork WebsitesFri, 05 Jun 2020 21:51:00 +0000https://www.bethelfamilydental.com/patient-forms/patient-information605a5296db224449aae76c5a:60709d2a7e1bfc341dd8acb6:60709d2f9ec1227363ba14f6 Return to Menu ]]>Authorization/AcknowledgeLegwork WebsitesThu, 07 May 2020 21:50:00 +0000https://www.bethelfamilydental.com/patient-forms/authorizations-and-acknowledgments605a5296db224449aae76c5a:60709d2a7e1bfc341dd8acb6:60709d312a57b97d91c442ae Return to Menu ]]>Insurance InformationLegwork WebsitesWed, 08 Apr 2020 20:10:00 +0000https://www.bethelfamilydental.com/patient-forms/insurance-information605a5296db224449aae76c5a:60709d2a7e1bfc341dd8acb6:60709d3355891f0838453a4d Return to Menu ]]>Dental HistoryLegwork WebsitesMon, 09 Dec 2019 21:03:52 +0000https://www.bethelfamilydental.com/patient-forms/dental-history605a5296db224449aae76c5a:60709d2a7e1bfc341dd8acb6:60709d3501fc8631f240313d Return to Menu ]]>Medical HistoryLegwork WebsitesSat, 07 Dec 2019 22:51:00 +0000https://www.bethelfamilydental.com/patient-forms/medical-history605a5296db224449aae76c5a:60709d2a7e1bfc341dd8acb6:60709d378ef35b4667c4a823 Return to Menu ]]>Communication ReleaseLegwork WebsitesFri, 06 Dec 2019 22:50:00 +0000https://www.bethelfamilydental.com/patient-forms/communication-release605a5296db224449aae76c5a:60709d2a7e1bfc341dd8acb6:60709d39cfad292c3d52482a Return to Menu ]]>