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Patient Forms

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.

 
 
Office location:
San Dimas
1057 Via Verde
San Dimas, CA
91773
Phone: (909)599-8331

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be reviewed, filled out and signed when you arrive at our office. Filling them out and submitting them back electronically  will allow us to attend to your dental 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

Dental Material Fact Sheet

HIPPA Privacy Notice

  

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