Palumbo Family Dentistry
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PATIENT FORMS

Thank you for choosing Palumbo Family Dentistry!
As we transition to a new paperless system new patient forms will only be available in office via an iPad. Thank you for your understanding while we make this transition. If you have any questions or concerns please contact us at 269-964-7557.

What to bring to your appointment

  • Current insurance card(s) Please verify that the policy(s) are active. 
  • A list of current medications
  • Drivers license or state issued ID card
​
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Dr. Palumbo is a Fellow of the Academy of General Dentistry
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