New Patient Forms
For your convenience and to maximize the doctor's time with you, please click on the following links to print and complete our New Patient Forms. Don't hesitate to call us if you need help or have any question in completing any of the forms. If you have difficulty downloading these forms, please call our office at (909) 627-9996 and we will gladly mail, fax, or email them to you. We thank you for choosing us to take care of your dental needs and look forward to serving you.
PLEASE COMPLETE and SIGN ALL FORMS PRIOR TO and BRING THEM TO YOUR APPOINTMENT !