NEW PATIENTS

Below you'll find several downloadable files that  you can print and fill out before your appointment.

 

To download the files, right click the download link and choose "Save File As..."

NOTE: Some may require Microsoft Word and Adobe Acrobat to view.

All patients must fill out this COVID-19 Pandemic Dental Treatment Consent Form before the appointment

NEW PATIENT PACKET

Contains Patient Information, Consent Form and Medical History.

 

PRACTICE INFORMATION

 

NOTICE OF PRIVACY PRACTICES

 

MATERIALS FACT SHEET

 

INSURANCE DISCLAIMER

4757 Mangels Blvd. Fairfield, CA 94534

(707) 864 1010

141 Sunset Ave. STE I-J. Suisun City, CA 94585

(707) 421 8190

WED 8 AM - 6 PM

TH 8 AM - 6 PM

FR 8 AM - 6 PM

SA 7:30 AM - 5:30 PM

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