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Forms
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  • Medical & Personal History form
  • Medical & Personal History form- Japanese
  • Sedation Consent Form
  • Sedation Consent Form - Japanese
  • Notice of Privacy Practices
  • Acknowledgement of Receipt of Notice of Privacy Practices
  • Patient Referral Form
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Disclaimer: This website is provided for information and educational purposes only. No doctor/patient relationship is established by your use of this site. No diagnosis or treatment is being provided. The information contained here should be used in consultation with an endodontist of your choice. No guarantees or warranties are made regarding any of the information contained within this website. This website is not intended to offer specific medical, dental or surgical advice to anyone. Dr. Murrin takes no responsibility for the websites that hyperlink to this site, and such hyperlinking does not imply any relationship or endorsement of those sites.

© 2001-2005 James R. Murrin, DDS, MS

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