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Doerschuk Dental
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Patient Forms

Please feel free to print the required forms below and fill it out before your visit.

  • Adult History Form (13yrs and older)
  • Children History Form (Up to 12yrs old)

Cleveland Location

Doerschuk Dental
3817 W 160th St,
Cleveland, OH 44111
Phone: (216)-671-6707

Our Hours

Monday: 8:00am - 5:00pm
Wednesday: 8:00am - 5:00pm

North Ridgeville Location

Doerschuk Dental
35590 Center Ridge Rd #106,
North Ridgeville, OH.
Phone: (440) 327 1021

Our Hours

Tuesday: 8:00am - 5:00pm
Thursday: 8:00am - 5:00pm
Friday: 8:00am - 1:00pm

Links

  • Home
  • About Us
  • North Ridgeville Location
  • Cleveland Location
  • Our Services
  • Contact Us

Patient Forms

  • Patient History Form – Adults
  • Patient HIstory Form – Children

Patient Reviews

  • Google (Cleveland Location)
  • Google (North Ridgeville Location)
  • PracticeMojo
  • Healthgrades
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