Gordon and Janik Pediatric Dentistry
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For your convenience, we offer downloadable PDF forms which you can print and fill out prior to your office visit. If you have any questions, please contact us.

Click to Download:

Patient Registration Form (PDF)
Dental and Medical History Form (PDF)
Dental Risk Assessment Form (PDF)
HIPAA Privacy Practices Form (PDF)




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Copyright 2012. Marsha A. Gordon D.D.S. and Wanda J. Janik D.M.D.

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The pediatric dental office of Marsha Adler Gordon, D.D.S. and Wanda J. Janik, D.M.D. is located in Allentown, PA and provides your child with a fun and friendly environment as well as excellent dental care.