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PATIENT
FORMS
Before your visit, please take a moment to download and fill out any of the following forms that we have requested. The forms can be sent electronically by email OR printed and mailed to the address below.
NEW PATIENT FORMS:
Confidential Patient Information
COVID FORMS:
COVID Routine Screening and Consent
COVID Urgent Screening and Consent
info@brungofamilydentistry.com
100 Oakwood Avenue
Suite 200
State College, PA 16803



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