Patient Forms
Please print and fill out each one of the listed forms and bring it to your initial appointment.
New Patient Forms
HIPAA Forms
Consent for Release of Personal Health Information
Crown Point, IN • Michigan City, IN • Lowell, IN • 877.526.4547
877.526.4547
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Dr. Leonard Anglis a dentist providing dental procedures such as cleanings,
dental implants, and porcelain veneers in Crown Point, Michigan City and Lowell.
Dr. Leonard Anglis is licensed as a general dentist in the State of Indiana.
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