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Patient Forms

You may access the following forms to assist us with your care. Please complete the following forms and bring them with you to your first visit.

  • Patient Registration Form
  • Patient Health History Form
  • HIPAA
  • Payment Policy

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*These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.​​

    Hal E. Hale, D.D.S., P.A.

    • Hal E. Hale, D.D.S., P.A. - 1223 N. Rock Rd., Bldg. F, Suite 100, Wichita, KS 67206 Phone: 316-687-0100

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