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Thomas W. Mercer, DDS
Shirley D. Mercer, DDS
Creating Beautiful Smiles
Call: (909)980-5558

Patient Forms

 

 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.

Patient Forms

Cancellation policy .pdf

Financialpolicy.pdf

 

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.

 Don't wait, let our Ranch Cucamonga Family Dentistry practice, help you reach your oral health goals today!

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Mercer Dentistry
9333 Baseline Rd, Suite 200 Rancho Cucamonga, CA 91730
Phone: (909) 980-5558 URL of Map