Medical Forms

Patient Registration.docx
Microsoft Word document [16.3 KB]

Privacy Practices.docx
Microsoft Word document [39.8 KB]

Consent Form.doc
Microsoft Word document [50.5 KB]

Health History.pdf
Adobe Acrobat document [73.9 KB]

Dental Health History.docx
Microsoft Word document [37.8 KB]

Contact Us Today!

Monday - Friday	08:00 AM - 04:00 PM

Fountain Clinic

111 N Jefferson St Suite 1

Marshall, MI 49068

Phone: +1 269-781-0952 +1 269-781-0952

Fax: +1 269-789-2790

E-mail Address: skimball@fountain-clinic.org

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