Maureen H. Lefkoff, DDS, MS, PA

Periodontics

(410) 992-6600

Snowden Professional Center

8600 Snowden River Parkway, Suite 204

Columbia, Maryland  21045

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Downloadable Forms

Patient Forms

You can download some of our standard office forms so that you may have them prepared in advance of your visit. These forms are in Portable Document Format (PDF) with fillable fields. They can be viewed and printed with a variety of PDF readers or editors, including the the free Adobe Reader. Note that some PDF readers (including the Adobe Reader) will allow you to fill out the the forms electronically, but may not allow you to save the filled-in document. If you are using Adobe Reader, please make sure you print the form right away!

Patient Medical History Form

Adult Patient Information Form

Child Patient Information Form

Doctor Forms

Patient Referral Form

Important Patient Information

Notice of Privacy Practices