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PATIENT FORMS

You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.

Notice of Privacy Practices...................

*This form requires Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.

Now Offering

Sparkle Dental Savings Plan

CONTACT US

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Anna C. Ashley, D.D.S., P.A.

5525 S. Staples St., Suite A8

Corpus Christi, TX 78411

Call Now: 361-991-0102

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