Here you will find pre-appointment dental documents and forms that you can fill out online or print and bring with you to your visit.
| Notice of Privacy Practices | THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION | Download PDF Print Only |
| General Dentistry Consent Form | AUTHORIZATION OF TREATMENT | Download PDF Print Only |
| Acknowledgement of Receipt of Privacy Practices And Dental Material Facts Sheet | ACKNOWLEDGMENT FORM | Download PDF Print Only |
| Financial Consent | OUR FINANCIAL POLICIES | Download PDF Print Only |
| Health History Form | PATIENT INFORMATION FORM This form has a printable version and one that can be filled out and submitted by email | Print PDF Editable PDF |
If you have any questions about Fluoride treatment and you live in or around Cameron Park, give us a call today! We’re located in the Safeway Shopping Center off highway 50.
