Patient Forms

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Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Information [PDF] | [DOC]
  • Health History [PDF] | [DOC]
  • Privacy Practices [PDF] | [DOC]

If you're unable to open PDF files, you can get Adobe Reader® for free.

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Cornelia Dental is your dental practice for Habersham County, including Cornelia and Demorest, Georgia. Comprehensive dental care for children, teens and adults. Dentists Drs. Ralph Jackson and Loren Noggle. Call today.

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