Halloran Dentistry

Fresno's First Green Dental Office

Dr. Douglas Halloran & Dr. Richard Halloran

1100 W Shaw Ave.
Ste. 146

Fresno, CA 93711
(559) 224-9925
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Patient Forms

patient-forms

Help us get to know you!

Please take a minute to print and fill out the patient information form before your first appointment:

  • Adult Patient Registration and
    Medical History Form PDF | DOC
  • Child Patient Registration and
    Medical History Form PDF | DOC
  • Notice of Privacy Practices PDF | DOC
  • Dental Materials Fact Sheet PDF

If you're unable to open PDF files, you can get Adobe Reader® for free.

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