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Quay William Parrott III
DDS, MS, PLC

17 Gosnell Crossing
Staunton, VA 24401
540-949-6600
540-949-7700 Fax

Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

» Patient Form (Child) PDF | DOC
» Patient Form (Adult) PDF | DOC
» Click to fill out our online health history form

If you're unable to open PDF files, you can get Adobe Reader® for free.

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