Brittingham Dentistry, LLC
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    • 706-860-4190
    • Appointment
    • Kathy Brittingham, DMD
    • Michael Brittingham, DMD
    • Map & Directions
  • Home
  • Office Info
    • About Our Doctors
    • Our Staff
    • Office Policies
    • Financial & Insurance
    • Map and Directions
    • Appointment Request
  • Patient
    • First Visit
    • FAQ
    • Patient Forms
    • Common Problems
    • Emergencies
    • Brushing and Flossing
    • Tooth Decay Prevention
  • Treatment
    • General Treatment
    • Early Dental Care
    • Cosmetic Dentistry
    • Periodontics
    • Endodontics
    • Prosthodontics
  • Miscellaneous
    • Related Links
    • Glossary
  • Contact Us
    • 706-860-4190
    • Appointment
    • Kathy Brittingham, DMD
    • Michael Brittingham, DMD
    • Map & Directions
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Patient Forms
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Adult Patient Information

Patient Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

  • Child New Patient Information
  • Adult New Patient Information

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

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Brittingham Dentistry

  • BRITTINGHAM DENTISTRY - 3742 Walton Way Ext., Augusta, GA 30907 Phone: 706-860-4190

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