ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE

Page 1 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=1' data-page='1' class='cut-thumb lazyload' alt='Page 1: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/1.jpg' width='140' height='200' /> Page 2 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=2' data-page='2' class='cut-thumb lazyload' alt='Page 2: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/2.jpg' width='140' height='200' /> Page 3 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=3' data-page='3' class='cut-thumb lazyload' alt='Page 3: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/3.jpg' width='140' height='200' /> Page 4 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=4' data-page='4' class='cut-thumb lazyload' alt='Page 4: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/4.jpg' width='140' height='200' /> Page 5 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=5' data-page='5' class='cut-thumb lazyload' alt='Page 5: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/5.jpg' width='140' height='200' /> Page 6 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=6' data-page='6' class='cut-thumb lazyload' alt='Page 6: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/6.jpg' width='140' height='200' /> Page 7 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=7' data-page='7' class='cut-thumb lazyload' alt='Page 7: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/7.jpg' width='140' height='200' /> Page 8 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=8' data-page='8' class='cut-thumb lazyload' alt='Page 8: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/8.jpg' width='140' height='200' /> Page 9 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=9' data-page='9' class='cut-thumb lazyload' alt='Page 9: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/9.jpg' width='140' height='200' /> Page 10 <img data-url='document/prosites-incc1-2017-03-07-family-and-cosmetic-dentistry-our-doctors-create.html?page=10' data-page='10' class='cut-thumb lazyload' alt='Page 10: ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE' loading='lazy' src='data:image/gif;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAYAAAAfFcSJAAAADUlEQVR42mNk+P+/HgAFhAJ/wlseKgAAAABJRU5ErkJggg==' data-src='https://reader034.cupdf.com/reader034/viewer/2022050118/5f4ee7d88cd74148f6566b8e/html5/thumbnails/10.jpg' width='140' height='200' />

ProSites, Inc.c1-preview.prosites.com/39523/wy/docs/NPPaperwork2017.pdf · 2017-03-07 · Family and Cosmetic Dentistry Our Doctors Create Beautiful Smiles MEDICAL INFORMATION RELEASE

Documents