New Patient Forms and First Visit Guide

Getting started is easy. Complete two forms before your first visit and arrive 15 minutes early so we can begin your appointment on time.

Before Your Appointment

Please print and complete both required forms in advance:

• Form 1: Dental Office Registration Form
• Form 2: Patient History Form

Arrive 15 minutes early for check-in and processing.

Required Form 1

Dental Office Registration Form

Place your PDF at /static/forms/dental-office-registration-form.pdf.

Download Registration Form (PDF)

Required Form 2

Patient History Form

Place your PDF at /static/forms/patient-history-form.pdf.

Download Patient History Form (PDF)

How to Return Your Completed Forms

You can send your completed forms using whichever method is easiest:

• Bring both forms to your appointment
• Fax to (925) 371-6534
• Email to [email protected]

By emailing completed forms, you consent to sharing personal information digitally.

What to Expect at Your First Visit

1. Warm welcome and check-in review
2. Comprehensive exam and digital diagnostics
3. Review of findings and clear treatment options
4. Transparent pricing and insurance guidance
5. Time for your questions before treatment decisions

What to Bring

• Photo ID
• Insurance card (if applicable)
• Current medication list
• Previous dental records (if available)
• Completed new patient forms

Insurance and Payment Support

We help you understand costs before treatment begins.

• PPO insurance verification and benefit support
• Clear out-of-pocket estimates
• Financing options for qualified patients
• Phased treatment planning when appropriate

Office Information

• Address: 1150 Murrieta Blvd, Suite 208, Livermore, CA 94550
• Phone: (925) 455-1232
• Fax: (925) 371-6534
• Email: [email protected]
• Hours: Mon-Thu 8:00 AM - 5:00 PM
• Lunch Closure: 1:00 PM - 2:00 PM daily
• Fri-Sun: Closed

New Patient FAQ

Do you accept children and families?

Yes. We provide family dentistry for children, teens, adults, and seniors.

Can I be seen for urgent pain?

Yes. Call us as early as possible and we will prioritize urgent cases.

I have not seen a dentist in years. Is that okay?

Absolutely. You will receive respectful, step-by-step care with zero judgment.

What if I cannot complete the forms before arriving?

Please arrive at least 15 minutes early and our team will help you complete them in-office.