Patient Registration

Online Forms

Initial Visit Forms
COVID19 Consent Form
Medical History Update
Parent Permission Slip

Downloadable Forms

Initial Visit Form
New Patient Responsibility Agreement
HIPAA Consent
Parent Permission
In-Office Discount Plan

Tooth Brushing

Children’s hands and mouths are different than adults. They need to use toothbrushes designed for children. Both adults and children should use brushes with soft, rounded bristles for gentle cleaning.

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Contact Our Office

Pediatric Dentistry of Mullica Hill

4 Burton Lane Suite 400
Mullica Hill, NJ 08062

Phone: 856-842-5400
Fax: 856-842-5220

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