2725 El Camino Real, Suite 109, Santa Clara, CA 95051
Open Mon–Thu & Sat · Mon & Thu until 6PM (408) 241-4111
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New Patients

Patient forms

Fifteen minutes of paperwork, done before you arrive instead of in our waiting room.

Every new patient completes a short set of forms covering your contact details, dental and medical history, current medications, insurance information and consent to treat. None of it is long, and all of it matters — your medical history in particular changes how we treat you safely.

Three ways to complete them

We email them when you book

Ask the front desk to send your new patient pack when you make the appointment. Fill it in at home, at your own pace, with your insurance card and medication list next to you.

Arrive 15 minutes early

Turn up a quarter of an hour before your appointment and complete everything at the office. Bring your insurance card, photo ID and medication details.

Call us and we will help

If you would rather go through it over the phone, or you need anything read out or explained, call (408) 241-4111 and we will take it down with you.

What you will need to hand

  • Your dental insurance card, or the plan and group numbers
  • A photo ID
  • A list of medications and dosages you take regularly
  • Details of any medical conditions, allergies or recent surgery
  • Your previous dentist's name, if you would like records transferred

Why we ask about medical history: blood thinners, bisphosphonates, diabetes, heart conditions and pregnancy all genuinely change how — and sometimes when — we treat. Telling us upfront prevents a cancelled appointment on the day.

Your privacy

Your records and health information stay confidential and are used only to plan and provide your care, bill your insurance where you have asked us to, and meet our legal obligations. We do not sell or share patient information.

Transferring from another dentist

Ask your previous office to forward your records and recent X-rays. Most send them within a few days, and it can save you having images retaken at your first visit. If you are unsure how to request them, tell us and we will handle it.

Book an appointment

Book first, then complete your forms — we will send them straight after you call.

Request Appointment (408) 241-4111

Office hours

Monday9:00 AM – 6:00 PM
Tuesday8:00 AM – 5:00 PM
Wednesday8:00 AM – 5:00 PM
Thursday9:00 AM – 6:00 PM
FridayClosed
Saturday8:00 AM – 3:00 PM
SundayClosed
Ready When You Are

Schedule your visit today

Same-week appointments are often available. Most dental insurances accepted, with flexible payment plans for patients without insurance.