Patient Forms

In order to provide you with the very best quality dental care and comply with California regulations, we kindly ask all patients to complete the necessary forms. These include: Patient Registration, Medical/Dental History, and HIPAA Acknowledgment forms.

You may fill them out digitally or by hand, according to your preference.

Consent for treatment

HIPAA Authorization Form for Use or Disclosure of Patient Information

HIPPA Notices of Privacy Practices

New Patient Registration & Medical History Forms

New patient? Please bring all completed forms to your first visit. Updating info? Our team may request updated forms before your next appointment.

Download your patient forms here and help us keep your records accurate and your care efficient.