Taryn Smith Jirousek, DMD & 
Jennifer Merry, DMD

(315) 673-1013

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  • More
    • Home
    • Doctors
    • Staff
    • Office
    • New Patient Forms
    • Leave us a Review!

(315) 673-1013

Taryn Smith Jirousek, DMD & 
Jennifer Merry, DMD
  • Home
  • Doctors
  • Staff
  • Office
  • New Patient Forms
  • Leave us a Review!

Patient Forms

Please download and fill out the following three new patient forms and bring them with you to your first appointment! Feel free to let us know if you have questions.

New Patient Registration (doc)Download
New Patient Medical History Form (pdf)Download
Financial Policy (pdf)Download

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