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Patient Registration Forms

dental patient forms chino hills

We thank you for your trust in our office. Please download, print, and fill out the patient information sheet or medical history form and bring them on your first visit, so that we may assist you more efficiently and deliver quality care. We ensure every precaution is taken to protect your sensitive personal data. Click on the following links below to download the patient registration forms.

Download Our Medical History Form
Download Our Patient Information Sheet

Technical Note: To view our form, you need to download the latest version of Adobe Acrobat Reader from Adobe’s web site.  https://get.adobe.com/reader/?trackingid=KQGEP

We’d love to hear from you!