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Member Forms
The following are the forms available for members:
Dentist Nomination Form
HIPAA Form
HIPAA-ADC Privacy Notice
Continuous Orthodontic Coverage Form
Grievance Form - DHMO (English)
Grievance Form - DHMO (Spanish)
Grievance Form - DHMO (Chinese)
Note:
In order to use these forms you need the Adobe Acrobat Reader installed on your computer.
To get Acrobat, just click on the "Get Acrobat Reader" button
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