Sally A. Gupton, DDS, Orthodontics and Dentofacial Orthopedics for Children & Adults
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OFFICE HOURS
Mon: 8am-6pm
Tue: Closed
Wed: 8am-5pm
Thu: 8am-6pm
Fri: 7am-4pm
Sat/Sun: Closed

The forms below are to be filled out and brought with you when you come in for your first office visit. This saves you time and will help us process your information quickly.

Patient Information Form Medical History Form
PDF: Patient Information Form PDF: Medical History Form

467 Pennsylvania Avenue • Suite 201 • Fort Washington PA 19034 • 215.643.9640 • Fax: 215.643.9702 • info@guptondds.com