Please fill out and submit the electronic forms below so we can expedite your first visit:
- Complete New Patient Packet
- Medical History (New Patient)
- Financial Arrangements (New Patient)
- Registration Form (New Patient)
- HIPAA/Dental Material Fact Sheet (New Patient)
- Medical History Update (Current Patient)
- Authorization for a Care-Taker (non-legal guardian) to Accompany a Minor to Appointments
Please review the forms below:
Other forms:
- Comparison of In House IV Sedation vs. Surgery Center/Operating Room
- Pre Op Instructions I.V. Sedation
- Pre Op Instructions Oral Sedation (English)
- Pre Op Instructions Oral Sedation (Spanish)
- Post Op Instructions I.V. Sedation
- Post Op Instructions Oral Sedation
- Description of Silver Diamine Fluoride (English)
- Description of Silver Diamine Fluoride (Spanish)
- Dental Intake Form – Autism
- Brush and Floss Calendar
- Benefits of a Panoramic X-Ray
- Dental X-ray Information Sheet
- Permanent Tooth Care
- Toddler Tooth Care
- GERD Guide (Reflux)
- Oral Health Books for Children
- California Dental Materials Fact Sheet (English)
- California Dental Materials Fact Sheet (Spanish)
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