Bruce Wham DDS
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Patient Forms

If you are a new patient, save some time by printing these forms off prior to your visit. You will need to sign and date- HIPAA, New Patient/Health History, and Patient Acknowledgment forms. 
If you are a current patient and your health history has changed please print and fill out the health history form.
Download/Print HiPAA Forms
DownLoad/Print New Patient Form and Health History
DownLoad/Print Patient Acknowledgment Forms

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What Our Clients Are Saying

"I have been a patient of Dr. Wham's for several years. He and his staff are warm, welcoming and very professional. I have referred family members and friends to Dr. Wham and will continue to do so. Kim has been my hygienist since my first visit, and she is amazing! If you are looking for a great dental experience, Dr. Wham is the one to provide it! I wish there were more than just the five stars to give to Dr. Wham and his staff!."

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Photo used under Creative Commons from Pascal Volk
  • Home
  • Services
  • Meet Our Team
  • Contact
  • Charity Work
  • Blog
  • Patient Forms