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Liability agreement

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I accpet agreement
Select Are you having any of the following symptoms?
  • I have a broken filling or Broken crown
  • I have a toothache
  • I had an injury to my teeth/lips and broke my tooth.
  • I have swelling on my face/jaw that is getting larger
  • I cannot open wide because it hurts too much.
  • I have a fever.
  • I knocked out my tooth.
  • I have uncontrolled gum/tooth bleeding
  • None of the above
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Select additional symptoms
  • Pain on and off
  • Lost filling
  • Loose tooth
  • Chipped tooth
  • Sensitivity to hot/cold
  • Denture issue
  • Implant issue
  • Gum issue
  • Braces issue
  • Cosmetic dentistry
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Symptoms
Additional symptoms
we would recommend appointment in 3-5 days:
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Previous
Symptoms
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