div class=ts-pagebuttonPage 1button div class=ts-image amp-img class=ts-thumb alt=Page 1: history formpdf · Date Patients Name Birthday Phone #s: First Name CHRISTOPHER J MAGIERA DMD PC GENERAL DENTISTRY 200 Silver Street Agawam MA 01001 PATIENT INFORMATION src=https:reader031vdocumentsmxreader031viewer20220218105c773f4d09d3f2c43b8bd72ehtml5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 2button div class=ts-image amp-img class=ts-thumb alt=Page 2: history formpdf · Date Patients Name Birthday Phone #s: First Name CHRISTOPHER J MAGIERA DMD PC GENERAL DENTISTRY 200 Silver Street Agawam MA 01001 PATIENT INFORMATION src=https:reader031vdocumentsmxreader031viewer20220218105c773f4d09d3f2c43b8bd72ehtml5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdiv