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Patient Forms

ATTENTION ALL PATIENTS

Due to the COVID -19 pandemic, new protocol requires dental offices to do a Personal Assessment for COVID -19 Risk before all dental treatment. Please complete the form below, printing them, and bringing them to our office on the day of treatment.  Thank you and please call our office if you have any questions. 

Download file here:

Personal Assessment for COVIDFINAL2.pdf


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If you are a new patient to our office, the attached file contains our new patient bundle with 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.

Patient Forms

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.

 

2500 Hospital Drive|Mountain View, CA 94040|Map & Directions

Call: 650-961-5070