









|
 |
 |

We are looking forward to welcoming you as a New Client in our practice.
To make your first appointment go smoothly, please print and complete
the Getting to Know You questionnaire at a time thats
convenient for you and bring it with you to your first visit. Also,
please read the Dental Fact Sheet and Privacy
Practices, then print and sign the Acknowledgement
and also bring that with you when you come to see us. You need Adobe
Acrobat Reader to view and print these forms which are in PDF
format. You can download a free version here.
Thanks!
This is our opportunity to say hello,
and your opportunity to tell us about yourself, your hopes
and dreams for your smile, and your general and oral health. |
 |
 |
This form outlines costs and provides us with your written consent to take your smile to where you want it. |
 |
 |
We are required by the Dental Board of California to give
you this document related to dental materials and procedures. |
 |
 |
This tells you how we treat your confidential
information. |
 |
 |
You sign and we keep this acknowledgement,
which says weve provided you with the Dental Fact Sheet
and our Privacy Practices. |
 |
 |
Thank you and we look forward to meeting you soon! |
|
 |

 |