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4849 South Cobb Dr SE, Smyrna, GA 30080     |    info@reichdentalcenter.com    |    F: 770.436.7477
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770.435.5450
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New Patient Form

For your convenience, we are pleased to offer our New Patient forms online.

To fill out the form online – simply click on the link below. It will take you to our online forms where you can fill out your information and submit your new patient forms directly to us online.

Click here: ONLINE REGISTRATION

 

To print the forms online – please click on the link below to download the PDF:

Download: New Patient Registration

Patient Appreciation - Our Referral Program

We truly love & appreciate our patient family. As a thank you, if you send us a referral - both you & the new referred patient will get a $25 account credit that can be used towards our services.


About Us

Reich Dental Center
Address: 4849 S Cobb Dr #111, Smyrna, GA 30080
Phone: (770) 435-5450
Opening hours:
Mon-Fri 6:30am-3:30pm
Connect with us!
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4849 South Cobb Dr SE, Smyrna, GA 30080 | info@reichdentalcenter.com | F: 770.436.7477
Business Hours:
Monday-Friday 6:30am-3:30pm | Closed: Sat & Sun
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