div class=ts-pagebuttonPage 1button div class=ts-image amp-img class=ts-thumb alt=Page 1: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails1jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 2button div class=ts-image amp-img class=ts-thumb alt=Page 2: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails2jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 3button div class=ts-image amp-img class=ts-thumb alt=Page 3: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails3jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 4button div class=ts-image amp-img class=ts-thumb alt=Page 4: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails4jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 5button div class=ts-image amp-img class=ts-thumb alt=Page 5: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails5jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 6button div class=ts-image amp-img class=ts-thumb alt=Page 6: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails6jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 7button div class=ts-image amp-img class=ts-thumb alt=Page 7: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails7jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 8button div class=ts-image amp-img class=ts-thumb alt=Page 8: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails8jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 9button div class=ts-image amp-img class=ts-thumb alt=Page 9: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails9jpg width=142 height=106 layout=responsive amp-img divdivdiv class=ts-pagebuttonPage 10button div class=ts-image amp-img class=ts-thumb alt=Page 10: New Patient Forms - davidwardddscom€¦ · tnat tne cnarges Tor services s a is due I further agree that a waiver of any breach of any time or condition hereunder shall not constitute src=https:reader033vdocumentsusreader033viewer20220602205f06fea47e708231d41ac4e9html5thumbnails10jpg width=142 height=106 layout=responsive amp-img divdiv