Patient Information

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Adult Registration

Adult Health History

Child Registration

Insurance Form

Financial Policy and Agreement

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.

 

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Patrick Guidry DDS
Creating Beautiful Smiles

Plaquemine dentist, Dr. Guidry offers quality dentistry with services including cleanings, teeth whitening, veneers and more. Call us at 225-687-4892 today.


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