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New Patient Forms

New Patient Forms at Modern Family Dentistry in Newnan, GA

Please fill our the documents if you have a first exam at Modern Family Dentistry. For more information, call us.

Welcome aboard! If you’d like to schedule a first exam, please print and fill out the documents below before coming in. You can call us to schedule your appointment!

Health History

Patient Info

Payment Policy

*In case of a life threatening emergency, immediately call 911.
**For any medical procedures, patients may respond to treatment differently, each patients results may vary.
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*****If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact us.

Modern Family Dentistry

7 Baynard Park St. A, Newnan, GA 30265

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Hours of Operations

Mon-Thur: 8am - 5pm, Fri: 8am - 12pm