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New patients...

Please download, complete, print, and bring the following forms with you for your initial appointment.

If you prefer, you may scan and e-mail them to

We look forward to meeting you!

Medical History Form.pdf 

HIPPA Privacy Policy.pdf

Smile Survey .pdf


Records release form, if needed

 Dental records release form .pdf

 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.

2515 Porter Street      |     Soquel, CA 95073     |     Call 831.462.8555