Complete forms before your visit
Download and complete your new patient forms at home. This allows us to focus your appointment time on what matters most—your dental care.
Instructions
Need help with your forms?
Contact UsNew Patient Registration Form
Complete personal information, contact details, and emergency contacts.
Medical History Form
Important health information including medications and allergies.
HIPAA Privacy Notice
Information about how we protect your health information.
Financial Policy
Our office financial policies and payment information.
Download all forms
Get all new patient forms in one convenient download.
Other options
Can't download the forms? No problem—here are some alternatives.
Complete at office
Arrive 20 minutes early and complete paperwork in our comfortable waiting room.
Request by email
Contact us and we'll email you the forms directly.
Phone registration
Call us and we can collect basic information over the phone.
Ready to schedule?
Once you've completed your forms, book your first appointment with us.
Call us
Contact Us
Phone
(951) 406-1521Office hours
Mon–Fri: 9:00 AM - 6:00 PM
Sat: 10:00 AM - 2:00 PM
Sun: Closed
Location
10465 Arlington Ave., Suite 300
Riverside, CA 92505
Need a refill? Call us or use the Quick Rx app for fast prescription refills.