for patients
Patient forms.
Fill these out before your appointment to save time in the office.
New patient registration
Required for every new patient. Approximately 10 minutes.
Open form →Health history
Medical conditions, medications, allergies, and prior dental care.
Open form →Primary insurance information
Submit your insurance details before your appointment.
Open form →COVID-19 questionnaire
Required pre-visit screening to keep our office safe.
Open form →Authorization for release of medical information
Fillable PDF. Required if you want records shared with another provider.
Download PDF ↓Trouble with the online forms?
Call us at (650) 321-6448 and we will email you fillable PDFs or walk you through the online intake. Forms must be completed before your child's first appointment.
Forms done? Time to book.
New patients are warmly welcomed. Booking takes under two minutes.
