New Patient Form

Your first visit to California Center for Implant Dentistry establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

Download Form

Please download and complete the form below and bring it to your first visit. If you are not able to complete these forms prior to your first visit, please arrive 30 minutes before your scheduled appointment.

The form is a PDF and requires you have Adobe Reader to open it. (Nearly all computers have this. If you cannot open the form, you can download it here:   Adobe Reader.)

After opening the form, you can place your cursor in the text fields and type your answers. You can also click the appropriate selections to choose Yes/No, etc.

To print the form from your computer:

1. Choose File > Print or click   icon in the toolbar

2. Select a Printer

3. Click Print