Rose and Rose DDS
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Commonly Requested Patient Documents

Below is a copy of our HIPAA Privacy Notice.  Please contact us with any questions.
rose_and_rose_hipaa_privacy_notice_112015.pdf
File Size: 101 kb
File Type: pdf
Download File

Below is a copy of our Patient Information Form.  Please complete this form and bring it to your appointment with a copy of your medications.
patient_info.pdf
File Size: 197 kb
File Type: pdf
Download File

Notice of Non-discrimination (multiple languages) 
ocr_notice_of_nondiscrimination__2_.pdf
File Size: 540 kb
File Type: pdf
Download File

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