prosites, inc.c2-preview.prosites.com/123858/wy/docs/pedo welcome form.pdf · does the child brush...

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Page 1: ProSites, Inc.c2-preview.prosites.com/123858/wy/docs/Pedo Welcome Form.pdf · Does the child brush his / her teeth daily? Yes Yes Yes Yes Floss his / her teeth daily? Child's Physician:
Page 2: ProSites, Inc.c2-preview.prosites.com/123858/wy/docs/Pedo Welcome Form.pdf · Does the child brush his / her teeth daily? Yes Yes Yes Yes Floss his / her teeth daily? Child's Physician: