Delta Dental (Premier, PPO and Medicare)
United Health – PPO and Medicare
New Patient Forms
Click the links below to download our HIPAA form, print and fill out/bring to the first appointment your health history and get your chart/x-rays transferred to us.
Free Acrobat Reader is needed to view the forms. You can download it here.
We offer 5% Senior Discount!
We accept Cash, Check, and all major Credit cards.
Our office accepts CareCredit and Well Fargo Patient Financing.
We Speak Your Language
In addition to English, we speak Russian, Ukrainian, and German