Dr. Bill Hern

Dr. Bill Hern

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146 St Paul Street
Belleville K8N 1B3
Ontario
Canada
Tel 613 966 1225
Fax 613 966 1420
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Below are a selection of forms for completion before any treatment can be made.
Click on the links below, print off the form and please complete.

Recall History Medical Form

Medical History Questionnaire

Orthodontic Patient Information Acquaintance Form