Lee F. Peterson, D.D.S. (559) 584-8129

It's never too late or too early to, "Have A Greater Smile!"

OPEN .PDF, Fill Blanks, PRINT FORM, or___________ OPEN .PDF, PRINT FORM, Fill Blanks Handwritten, *TAKE FORM TO APPOINTMENT

PATIENT REGISTRATION	For filling in the Blanks with Key Board) Use "TAB KEY" to move through Fields-Blanks Use "CURSOR" to check or un-check Boxes
(Minor/Child PATIENT REGISTRATION

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For Appointments CALL- (559) 584-8129
987 N. Irwin Street, Hanford, California 93230