Patient Information

Our Policies – Payment for Services, Insurance, Missed or Canceled Appointments

New Patient Information Form (PDF)

You can save time in our office by downloading and printing our patient information PDF form. Once you complete the information, please bring it in with you to your appointment or fax it to us at 650-323-5013.

Learn more about:
Scaling and Root Planing: Help for Your Teeth and Gums
Treating Your Periodontal Disease With Arestin™ (Minocycline HCl 1mg Microspheres)
CariFree
Invisalign

New Patient Information Form

Download our New Patient Information Form (PDF) You can save time in our office by downloading and printing this form. Once you complete the information, please bring it in with you to your appointment, or fax it to us at 650-323-5013.