Forms


As a new patient you can save time by printing and filling out the Medical History Form and the Acknowledgement of Receipt of Notice of Privacy Practices, before your scheduled appointment time. For existing patients, please fill out a new health history form every time your health condition has changed, so we can update your health information on file.


New Patient Forms

Medical History Form

New patients - print and fill out this form to save time in the office. Existing patients – fill out every time your health condition has changed.

Dental Material Fact Sheet

published by California Dental Board, contains pertinent information regarding most materials used in dentistry today. 

Dental History

New patients - print and fill out this form to save time in the office

Confidential Patient Information

New patients - print and fill out this form to save time in the office.

Existing Patients

Most likely you have already been given these instructions following your dental treatment. Just in case you need them again, this is where we made them easily available for download

Dental History

Existing patients – fill out every time your health condition has changed

Confidential Patient Information

Existing patients – fill out every time your health condition has changed