New Patient Forms

Dr. Kostides welcomes new patients

Welcome-Patient-Form

Dr. John Kostides HIPAA Patient Consent Form

HIPAA-Compliance-Patient-Consent-Form

Merrillville Family Dentist HIPAA Policy Form

HIPAA-Notice-of-Privacy-Practices

Dr. John Kostides Patient Policies Form

Patient-Policies-Form

Merrillville Family Dentist Patient Acknowledgment form

Patient-Acknowledgment-of-Receipt-of-Notice-of-Privacy-Practices

Dr. Kostides dental new patient welcome forms

Welcome-Patient-Form