Address: 231 N Indian Hill Blvd, Ste A, Claremont CA 91711
 
 

 
 
 
 
 

New Patient Forms

 
We welcome and are always accepting new patients. Our mission is to make a positive difference in the lives of children, youth and adults by offering the highest-quality dental care in a private-office atmosphere. By providing a team of professional, highly educated , honest, compassionate and committed employees, we aim to improve patient health, appearance, self confidence and overall quality of life.

Your first appointment as a new patient will begin by reviewing your medical and dental history. We will take any necessary digital x-rays, perform a thorough examination and discuss any concerns you may have regarding the appearance and health of your teeth. A potential customized treatment plan will be prepared for your dental needs.
 
Office Staff - Dental care in Claremont, CA
 
Spend less time in our waiting room. Print, fill out and sign these forms at home. Don't forget to bring them with you!

Medical History for Adults: Page 1 pdf & Page 2 pdf

Medical History for Children: Page 1 pdf & Page 2 pdf

*Click on page to download
 
 
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