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Call Us: (505) 333-8635
1700 N. Butler Ave., Farmington, NM 87401-6331
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New Patient Forms


Photo of smiling wife, husband and young daughter.To save time on the day of your appointment, new patient forms are provided here for download. Please print, complete and bring the forms to our office.

Give us a call at (505) 333-8635 if you have any questions and we'll be glad to help.

Click the link to download:
Health History Form
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San Juan Oral & Facial Surgery
Dr. David Cundick, D.D.S.
1700 N. Butler Ave., Farmington, NM 87401-6331

(505) 333-8635


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