New Patients

NEW PATIENT FORM

Our new patient forms are fillable PDF forms. You may choose to print the forms and and fill them out by hand or you may fill them out online and then print when completed.

Please bring the completed forms with you to your first office visit.

Bay Area House Call Dentist New Patient Form

SCHEDULE AN APPOINTMENT

To schedule a house call with our San Francisco Bay Area House Call Dentist team,
call 800-395-1152. Our Patient Care Coordinator will call you to schedule your house call.

In New York? Click here to be redirected to our House Call Dentist partner in Manhattan.