Printable Patient Forms

If you are a new patient to our office or an existing patient, below contains our patient forms that will need to be filled out before you arrive at our office.

Filling them out will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.




Printable Forms

New Patient Information

Insurance Information

Medical and Dental Info

Medical History Update

Financial Policy

Patient Screening Form (Covid-19)

Post-Op Instructions

Oral Surgery

 

English Procedure Consent Forms

Anesthesia

Apicoectomy

Bone Grafting

Child Protective Stabilization

Cone Beam CT Scan 

Crown & Bridge

Dentures 

Extractions

Fillings

Gingival Graft

Implant Placement

Implant Supported Restoration

Inlays-Onlays

Mouthguard

Nonsurgical Periodontal Treatment

Opioids (CA Only)

Orthodontics

Root Canal Retreatment

Root Canal Treatment

Surgical Periodontal Treatment

Teledentistry Consent and Notice

Veneers

Whitening

        

Spanish Procedure Consent Forms

Anesthesia

Apicoectomy

Bone Grafting

Cone Beam CT Scan

Consent to Prescribe Opioid to Minor

Crown & Bridge

Dentures 

Extractions

Fillings

Gingival Graft

Implant Placement

Implant Supported Restoration

Inlays-Onlays

Mouthguard

Nonsurgical Periodontal Treatment

Orthodontics

Root Canal Retreatment

Root Canal Treatment

Surgical Periodontal Treatment

Veneers

Whitening


 

 

 

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.

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Office Location

  • South Lake Tahoe
  • 2867 Lake Tahoe Blvd
  • South Lake Tahoe, CA
  • 96150-7805
  • Map & Directions
  • Call: (530) 544-4893