Gainesville

1204 NW 69th Terrace, Suite C ^Map
(352) 332-3788
Fax: (352) 332-3791

Hours: M-F 9am-5pm

Lake City

2086 SW Main Blvd, Suite 113 ^Map
(386) 758-6050
Fax: (386) 758-2742

Hours: M-F 9am-5pm

	Kevin R. Jurecko, DDS kjurecko@jandgendo.com
	Megan J. Gracy, DMD gracyendo@bellsouth.net


	What To Bring
	Patient Registration Form Medical History Form Consent Form HIPPA Form Valid ID List of Meds List of Allergies