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Forms

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  • Hippa and Financial Cancellation
  • Medical History Main Report
  • Records Release Authorization – Releases information from a previous doctor or hospital to Zugner & Pedersen Dental Group
  • Patient Information – Patient Information Form
  • Office Cancellation Policy – Patient Cancellation Policy

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Located in Webster, NY, the Zugner and Pedersen Dental Group specializes in general dentistry and implant & cosmetic dentistry.


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Zugner & Pedersen Dental Group
55 North Avenue
Webster, NY 14580
(585) 872-2797
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