Forms

Dental implants in Orange & Anaheim Hills, CA.

Our Focus is on You, Your Smile & Your Comfort

HealthHistory

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.

New Patient Forms:

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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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Acknowledgement of Receipt of Notice of Privacy Practices Form (HIPAA)
New Patients – Print and fill out this form to save time in the office. You can read our privacy practices by downloading the form above.

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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.

Existing Patients
Post-operatory Instruction

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.

Other Forms
Post-operatory Instruction

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