Call Today (706) 638-2784
201 East Villanow Street, LaFayette, GA 30728
Open Monday, Tuesday, Thursday, & Friday 8:00am-5:00pm

Patient Forms


Please print & fill out the forms below prior to your appointment.
View or Download our patient forms below. Adobe Reader may be required. Download for free at the icon below the forms.Privacy Act Form (HIPPA) Medical/Dental History Form Privacy Act/Balance Consent Form

Click on the icon below to download Adobe Reader.

Levie Family Dentistry

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Address:
201 East Villanow Street
LaFayette, GA 30728

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Phone:
(706) 638-2784

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Hours:
Monday: 8am-5pm
Tuesday: 8am-5pm
Wednesday: Closed
Thursday: 8am-5pm
Friday: 8am-5pm
Saturday: Closed
Sunday: Closed

Location / Directions