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myPBHS - Welcome

PBHS Inc. - web design / practice marketing / patient education. At PBHS we strive to make your lives easier and more productive. For help, please feel free to contact us at 1-888-840-0739 or email at support@pbhs.com. User Name must be between 3-10 characters. Password must be between 3-10 characters. Please call PBHS Support at, 1-888-840-0739 (we cannot email secure passwords). Â 2006 PBHS Inc. Website Design by PBHS Inc.

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Jay Levine

2455 Ben●●●●●●●●ley Road

Sui●●●215

San●●●osa , California, 95404

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(707)●●●●●-6901
(707)●●●●●-9475
in●●@pbhs.com

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PBHS

Jay Levine

2455 Ben●●●●●●●●ley Road

Sui●●●215

San●●●osa , California, 95404

United States

(707)●●●●●-6901
(707)●●●●●-9475
in●●@pbhs.com

View this contact

PBHS

Jay Levine

2455 Ben●●●●●●●●ley Road

Sui●●●215

San●●●osa , California, 95404

United States

(707)●●●●●-6901
(707)●●●●●-9475
in●●@pbhs.com

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PBHS Inc. - web design / practice marketing / patient education. At PBHS we strive to make your lives easier and more productive. For help, please feel free to contact us at 1-888-840-0739 or email at support@pbhs.com. User Name must be between 3-10 characters. Password must be between 3-10 characters. Please call PBHS Support at, 1-888-840-0739 (we cannot email secure passwords). Â 2006 PBHS Inc. Website Design by PBHS Inc.
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myPBHS - Welcome | mypbhs.com Reviews

https://mypbhs.com

PBHS Inc. - web design / practice marketing / patient education. At PBHS we strive to make your lives easier and more productive. For help, please feel free to contact us at 1-888-840-0739 or email at support@pbhs.com. User Name must be between 3-10 characters. Password must be between 3-10 characters. Please call PBHS Support at, 1-888-840-0739 (we cannot email secure passwords). Â 2006 PBHS Inc. Website Design by PBHS Inc.

INTERNAL PAGES

mypbhs.com mypbhs.com
1

Dr. Marc Smith | On Line Referral Form

https://www.mypbhs.com/truform/forms/smith_marc/main/ref/referral.asp

Capital Oral and Maxillofacial Surgery. Fill in the fields on the form by using the tab key to move from field to field. When you have completed the form, click on the SUBMIT FORM button at the bottom of the page. Does the patient require antibiotics prior to dental treatment? Please Verify Teeth for Extraction:. Cleft Lip and Palate. Oral / Facial Lesion. Provided by Restorative Dentist. Once this form is submitted, you will have the option to PRINT a copy of this submitted form in a PDF format.

2

Dr. Miller | On Line Referral Form

https://www.mypbhs.com/truform/forms/miller/main/ref/referral.asp

Central Oklahoma OMS Associates. Fill in the fields on the form by using the tab key to move from field to field. When you have completed the form, click on the SUBMIT FORM button at the bottom of the page. Once you submit this form you will have the option to upload up to 5 x-rays images. Does the patient require antibiotics prior to dental treatment? Patient will call for appointment. Extraction (see tooth chart below). Cleft Lip and Palate. Oral / Facial Lesion. Provided by Restorative Dentist.

3

Connecticut Maxillofacial Surgeons, LLC | On Line Referral Form

https://www.mypbhs.com/truform/forms/cmsllc/main/ref/referral.asp

Connecticut Maxillofacial Surgeons, LLC. Fill in the fields on the form by using the tab key to move from field to field. When you have completed the form, click on the SUBMIT FORM button at the bottom of the page. Please Verify Teeth for Extraction:. Cleft Lip and Palate. Provided by Restorative Dentist. TO ATTACH X-RAY(S) TO THIS REFERRAL FORM PLEASE SUBMIT THE FORM BELOW. AFTER THE FORM IS SUBMITTED YOU WILL THEN HAVE THE OPTION TO UPLOAD X-RAYS THAT WILL BE ATTACHED TO THIS REFERRAL FORM.

4

Drs. Patrick J. Coleman, Michael J. Coleman | On Line Referral Form

https://www.mypbhs.com/truform/forms/carolina_coleman/main/ref/referral.asp

Carolina Oral and Facial Surgery. Fill in the fields on the form by using the tab key to move from field to field. When you have completed the form, click on the SUBMIT FORM button at the bottom of the page. Once you submit this form you will have the option to upload up to 5 x-rays images. Does the patient require antibiotics prior to dental treatment? Extraction (see tooth chart below). Cleft Lip and Palate. Oral / Facial Lesion. Provided by Restorative Dentist. Please Verify Teeth for Extraction:.

5

California Society of Periodontists | New Application for Membership

https://www.mypbhs.com/truform/forms/fagan_m/main/reg/form.html

NEW APPLICATION FOR MEMBERSHIP. Category Membership- please select from one of the following:. First Year in Practice $75.00. Affiliate (Out of State) $255.00. Second Year in Practice $225.00. Government Services $255.00. If you are employed, full-time, by a government agency, please indicate the branch and/or agency:. To qualify, please indicate the dental school institution. Must be full-time 3 days or more per week as faculty member):. Are you in a practice that limits its scope to Periodontics? Which...

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myPBHS - Welcome

PBHS Inc. - web design / practice marketing / patient education. At PBHS we strive to make your lives easier and more productive. For help, please feel free to contact us at 1-888-840-0739 or email at support@pbhs.com. User Name must be between 3-10 characters. Password must be between 3-10 characters. Please call PBHS Support at, 1-888-840-0739 (we cannot email secure passwords). Â 2006 PBHS Inc. Website Design by PBHS Inc.

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