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New Patient Registration Forms
We attempt to see you at your appointed time as much as possible since we believe your time is as valuable as ours. If you would like to save some time, download our New Patient Registration form. Please fill it out with your keyboard and mouse, print it, and then fax it, mail it, or bring it with you to your first appointment.

To print our patient registration forms, please click on the link above. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.

 

© 2007, Dr Ralph A.Teed (DDS, PA). Powered by DDS.com.
1200 Mclain St., Newport, AR. 72112 | 1612 Harrison St., Batesville, AR. 72501
P: 870.523.6555 | F:870.523.6222 |: email us
Dr. Teed is a family and cosmetic dentist and he welcomes new patients from all over including Newport, Batesville, Mountain View, Bald Knob, Melbourne, as well as patients in Jackson, White, Sharp, Independence, and Stone counties. Dr. Teed has practiced dentistry in Arkansas for many years and he provides full dental services including porcelain veneers, dental implants, cosmetic bonding, porcelain fillings, porcelain bridges, porcelain crowns, dentures, orthodontics including INVISALIGN, and Laser Smile Whitening in addition to other dental procedures.