Patient Forms
We are happy to offer our forms online. Please feel free to print the forms and fill them out at your convenience before your visit.
New Patient Registration
Please print and complete this form before your first appointment.
Click here to download (451 KB)
Notice of Privacy Practices
Please print and complete this form before your first appointment.
Click here to download (767 KB)
Consent for Treatment
Please print and complete this form before your first appointment.
Click here to download (151 KB)
Records Request
Click here to download (78 KB)
Release Records
Click here to download (95 KB)
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:
- CLEANING & PREVENTION
- COSMETIC PROCEDURES
- RESTORATIVE PROCEDURES
- IMPLANT PROCEDURES
- TOOTH EXTRACTIONS
- DENTURES
Legg Dental Group
PO Box 568
63 Carr Street
Clay, WV 25043
Phone: 304-587-4232
Fax: 304-587-2092
| Office Hours: | |||
| Monday | 8:00am | - | 4:00pm |
| Tuesday | 8:00am | - | 4:00pm |
| Wednesday | 8:00am | - | 4:00pm |
| Thursday | 8:00am | - | 6:00pm |
| Friday | 8:00am | - | 1:00pm |
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