Appointment Request New Client Papers



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 that’s 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!


'Getting to Know You' Questionnaire
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.
Financial Practices & Consent of Treatment Form
This form outlines costs and provides us with your written consent to take your smile to where you want it.
Dental Fact Sheet
We are required by the Dental Board of California to give you this document related to dental materials and procedures.
Privacy Practices
This tells you how we treat your confidential information.
Acknowledgement
You sign and we keep this acknowledgement, which says we’ve provided you with the Dental Fact Sheet and our Privacy Practices.

Thank you and we look forward to meeting you soon!


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