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Useful Patient Forms:
As a new patient you can save time by printing and filling out the Health 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.

The Dental Materials Fact Sheet, published by California Dental Board, contains pertinent information regarding most materials used in dentistry today. You can print a copy by clicking on the link below, or we can provide you with a copy in the office. image

Health History Form

Health 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.
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Health History Form

Notice of Privacy Practices (HIPAA)
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Health History Form

Acknowledgement of Receipt of Notice of Privacy Practices Form (HIPAA)
 New Patients - Print and fill out this form to save time in the office.
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Health History Form

Postoperative Instructions - Oral Surgery
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Health History Form

Postoperative Instructions - Root Canal
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Health History Form

Informed Consent - Dental Implants
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Health History Form

Dental Materials Fact Sheet
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Health History Form

Informed Consent - Zoom Teeth Whitening Treatment
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Health History Form
Adobe Acrobat
Click here to download the latest version of the  FREE Adobe Acrobat PDF Reader.
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