Paperwork, Minus the Waiting Room
Patient Forms
To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.
Your Registration Packet
New patient forms
Patient Packet For new patients, this packet contains all of the forms listed below. Online Form Patient Registration Provide your personal, contact, responsible party, and insurance information before your visit. Online Form Health History Your medical background, conditions, and current medications. The most important form for planning safe anesthesia. Online Form Financial Policy Acknowledgement How payment, insurance, and billing work at our office. Online Form Notice of Privacy Practices How your health information is protected and used. Online Form Arbitration Agreement The standard California arbitration agreement for medical care. Online Form Patient Consent for Written Notes (California) Consent regarding written treatment notes under California law. Online Form
Individual Forms
Simplify your visit
Completing your forms before your visit can help shorten your check-in time. If online forms or printing are not convenient, simply arrive 15 minutes early and our team will have everything ready for you to fill out when you arrive.
Planning your first appointment? Your First Visit covers everything else: what to bring, how the consultation works, and the surgery-day rules for sedation.
Stuck on a form?
Call 530-223-1811 and ask for Sheena, our office manager. She and the front office team will walk you through it.
Save time before you arrive
Forms at home today, a shorter check-in tomorrow. New patients and referrals are always welcome.