Fred G. Blum, DMD, FAGD Caprice Dakwar, DDS
For first time patients: Please print and fill out before your first appointment.
Please use the forms below to provide personal and medical information.
Please use the forms below for the consent of limited use of health information and acknowledgement of receipt of our privacy practices.
Dr. Fred G. Blum and Associates
890 South Winton Road
Rochester, NY 14618
P: (585) 461-1670
F: (585) 461-1058