The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Phan and our caring staff. We encourage questions and do our best to always deliver quality care.
Please help us make your first visit more efficient by filling out this form online prior to your first visit. Print out the form and bring it to your appointment. This will expedite your visit and save you time while in the office.
For convenience, you can also fill out the form online in advance, email to yourself and print out at our office.
Please also use this form for any future update on changes in health history or insurance information.
Cavity Clearance Form.pdf (Take this to your general dentist to be signed and bring to us so we can update your dental health)
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.