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Download Documents


This page contains downloadable forms for our patients' convenience. Please download and print these forms, fill them out at home and bring them with you on your next visit. Note that these are large file sizes, primarily suitable for those patients with broadband (e.g., DSL or cable) Internet connections.

Authorization for Release of Dental Information


Patient Medical History-Part 1

Patient Medical History-Part 2


Notice of Privacy Practices-Introduction

Notice of Privacy Practices-Part 1

Notice of Privacy Practices-Part 2


Downloadable files require the Acrobat Reader application. You may freely download Acrobat Reader from the Adobe website.


Copyright © 2005-13 Michael F. Stroock, DMD PC

Michael F. Stroock, DMD
1021 Park Ave # 201
Quakertown, PA 18951
(215) 536-9593