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Medical History Form

In order to provide you with optimal dental care, we ask new patients to give us an overview of their medical and dental history. You can fill out this form before your appointment, or you can email your form online

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We use our patients’ information in accordance with State and Federal laws. Please consult one of our staff if you would like to know more, or simply click here to read our privacy policy in full. 

Privacy Policy

We are The Port Dental Care

We thank you for taking the time to visit our website and hope that you find the information interesting and educational. As an integral part of the community, we understand the essential role that the Port Dental Care plays in delivering the highest standard of quality dental care.
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