J. Michael Rogers, D.D.S
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welcome NEW PATIENTS
Please follow the the steps below to provide us with information about you, your contact information, health history, and insurance.
npforms2021.pdf
CLICK on form to the left
DOWNLOAD files
FILL OUT forms digitally
SAVE your forms, naming it your full name
use below button to EMAIL US the forms
in subject line type NEW PATIENT
ATTACH forms to your email
or simply PRINT, FILL THEM OUT and bring them to your first visit
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HOME
MEET DR. ROGERS
MEET THE TEAM
VIRTUAL TOUR
REVIEWS
NEW PATIENT INFORMATION