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Nancy Pemberton, DDS
Master - Academy of General Dentistry
Your Healthy Smile is Our Quest!
Call: (985) 785-0620

Patient Forms

We need all the information requested on our new patient forms, and to ensure it is provided, you can now access these forms at home and take your time to fill them out before you arrive for your first appointment. Simply click on the new patient forms button to view and print them out. If you have any questions, please contact us and we will be happy to clarify with answers.

New Patient Forms

HIPAA Forms

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Testimonials

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Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.