Weekend emergency appointments available! Call us at 925-291-7761
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    • HOME
    • ABOUT US
      • ABOUT US
      • MEET THE DOCTOR
    • NEW PATIENT
      • FIRST VISIT
      • PATIENT FORMS
      • NEW PATIENT SPECIAL
    • SERVICES
      • CROWNS & BRIDGE
      • IMPLANTS
      • TEETH FOR LIFE
      • PREVENTIVE PROCEDURES
      • COSMETIC PROCEDURES
      • PEDIATRIC DENTISTRY
      • FILLINGS
      • PROPHYLACTIC CLEANINGS
      • VENEERS
      • DENTAL EMERGENCY
      • TEETH WHITENING
      • SMILE MAKEOVERS
      • ROOT CANAL
      • INVISALIGN
    • CONTACT
      • CONTACT
    • INSURANCE
      • INSURANCE
    • MEMBERSHIP PLAN
      • MEMBERSHIP PLAN
    • PAYMENT OPTIONS
Weekend emergency appointments available! Call us at 925-291-7761

Signed in as:

filler@godaddy.com

  • HOME
  • ABOUT US
    • ABOUT US
    • MEET THE DOCTOR
  • NEW PATIENT
    • FIRST VISIT
    • PATIENT FORMS
    • NEW PATIENT SPECIAL
  • SERVICES
    • CROWNS & BRIDGE
    • IMPLANTS
    • TEETH FOR LIFE
    • PREVENTIVE PROCEDURES
    • COSMETIC PROCEDURES
    • PEDIATRIC DENTISTRY
    • FILLINGS
    • PROPHYLACTIC CLEANINGS
    • VENEERS
    • DENTAL EMERGENCY
    • TEETH WHITENING
    • SMILE MAKEOVERS
    • ROOT CANAL
    • INVISALIGN
  • CONTACT
    • CONTACT
  • INSURANCE
    • INSURANCE
  • MEMBERSHIP PLAN
    • MEMBERSHIP PLAN
  • PAYMENT OPTIONS

Account

  • Bookings
  • My Account

  • Sign out

  • Sign In
  • Bookings
  • My Account

New Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment.

Appointment policy (pdf)

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Patient Consent (pdf)

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Medical History (pdf)

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HIPPA (pdf)

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