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Patient Forms

If you are a new patient to our office, the attached files contains forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Notice of Privacy Practice

Dental Medical History

Patient & Responsible Party Information

California Authorization for Release of Dental Records

 

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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Office Location

  • Folsom
  • 100 Iron Point Circle Suite 102
  • Folsom, CA
  • 95630
  • Map & Directions
  • Call: (916) 983-8360