QUICK CONTACT GREEN STREET DENTAL ASSOCIATES 150 South Green Street Nazareth, PA, 18064 Phone: 610.746.0488 Fax: 610.746.9088 DOWNLOAD HEALTH HISTORY FORM Health History Form First Name: Last Name: Address: City: State: Zip: Email Address: Phone:   Fax:   Comments/Questions:   Site designed and maintained by: AccuFind Internet Services Inc.®