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AOMS Pediatric Dentistry

Address:
West Amarillo
5051 S Soncy Rd
Amarillo, TX 79119

Phone:
(806) 803-9452

Hours:
Mon–Thu: 8:00 AM–5:00 PM
Fri: 8:00 AM–3:00 PM

East Amarillo
3300 E I-40 Ste 100
Amarillo, TX 79103

Phone:
(806) 410-1919

Hours:
Mon–Thu: 8:00 AM–5:00 PM
Fri: 8:00 AM–3:00 PM

Contact Us

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Parent 1 Relationship
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Parent 2 Relationship
Convulsion/Epilepsy
Abnormal Bleeding
Hearing Impairment
Handicaps/Disabilities
Developmentally Delayed
Nail Biting
Grinding Teeth
Rheumatic Fever
HIV Positive or AIDS
Hemophilia
Asthma
Hepatitis
Tuberculosis
Chronic Upper/Respiratory Problems
Is your child currently under the care of a physician?
Vision Problems
Any operations (Explain Below)
Describe your childs current physical health?
Any Hospital Stays (Please explain below)
Kidney/Liver Problems
Allergies
Peanut Allergy
Pregnant
Smoker
ADD & ADHD
Autism
Downs Syndrome
Speech Problems
Thumb Sucking
Lip Sucking
Nursing / Bottle / Sippy Cup
Mouth Breathing
Does your child have a heart condition?
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Cancer
Diabetes
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