We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms in the comfort of your home. Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.
- Patient Medical History Form
- Patient Medical History Form - Spanish
- Patient Registration Form
- HIPAA Privacy Practices
- Dental Materials Fact Sheet
To download Adobe Acrobat:
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USE IT OR LOSE IT!
Dental Insurance plans expire as the calendar year ends. If you have not used your benefits by the end of they year, they will expire! Benefits do not roll over to the next year.
We will help you utilize your benefits!
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(209) 668-3736 - Turlock Location
(209) 409-8839 - Modesto Location
WE ACCEPT MOST PPO DENTAL INSURANCE PLANS
NO INSURANCE? NO PROBLEM. WE OFFER CASH DISCOUNTS IF YOU DON'T HAVE INSURANCE