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(408)  873-7373

19286 Stevens Creek Blvd. Cupertino, CA 95014

Patient Forms

SWe know that your time is valuable. That’s why we offer a simplified office experience with online patient forms that you can complete prior to your appointment. You’ll spend less time in the waiting area, streamlining your initial visit. These forms help us better understand your background, allowing us to provide you with the most effective care possible. As always, please do not hesitate to contact us is you have any questions about patient forms or your appointment.

Please fill out and print BOTH forms highlighted in yellow down below before your dental appointment.
New Patient Form & Health History Form.