We have made our new patient forms available to you as Adobe Acrobat files. 
For your convenience, we recommend printing and completing these forms at home. 
Please remember to bring your completed forms with you for your first appointment. 
If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

patienttestimonial1.pdf
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  25k v. 1 Jan 11, 2012 5:26 PM Pichak Kelk
 English
HealthHistory.pdf
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Health History in English.  46k v. 2 Mar 21, 2011 1:25 PM Pichak Kelk
InsuranceSheet.pdf
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Insurance Sheet Form  11k v. 2 Mar 21, 2011 1:25 PM Pichak Kelk
NoticeOfPrivacyPractices.pdf
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Notice Of Privacy Practices  112k v. 2 Mar 21, 2011 1:25 PM Pichak Kelk
PaitentInformation.pdf
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Paitent Information in English.  46k v. 2 Mar 21, 2011 1:25 PM Pichak Kelk
PaymentIsDue.pdf
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Payment Is Due At Time of Service.  36k v. 2 Mar 21, 2011 1:25 PM Pichak Kelk
WrittenFinancialPolicy.pdf
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Written Financial Policy Form  26k v. 2 Mar 21, 2011 1:25 PM Pichak Kelk
 Pre-op and post-op instructions
DentalImplantpost-opinstructions.doc
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  23k v. 3 Jun 3, 2011 6:22 PM Pichak Kelk
DentalImplantpre-opinstructions.doc
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  25k v. 3 Jun 3, 2011 6:22 PM Pichak Kelk
IVsedationpre-opinstructions.doc
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  25k v. 2 Jun 3, 2011 6:21 PM Pichak Kelk
OralHygieneinstructionsaftergingivalgraft.doc
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  23k v. 2 Jun 3, 2011 6:29 PM Pichak Kelk
OralHygieneinstructionsafterperiodontal(osseous)surgery.doc
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  23k v. 2 Jun 3, 2011 6:29 PM Pichak Kelk
Oralsedationpre-opinstructions.doc
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  24k v. 2 Jun 3, 2011 6:21 PM Pichak Kelk
Periosurgerypost-opinstructionsinEnglishandSpanish.doc
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  31k v. 2 Jun 3, 2011 6:21 PM Pichak Kelk
Sinusliftpost-opinstructions.doc
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  24k v. 2 Jun 3, 2011 6:21 PM Pichak Kelk
Sinusliftpre-opinsructions.doc
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  25k v. 2 Jun 3, 2011 6:21 PM Pichak Kelk
Toothextractionpost-opinstructionsinEnglish.doc
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  24k v. 2 Jun 3, 2011 6:22 PM Pichak Kelk
Toothextractionwithbonegraftpost-opinstructionsinEnglish.doc
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  46k v. 2 Jun 3, 2011 6:22 PM Pichak Kelk
Toothextractoinpost-opinstructionsinSpanish.doc
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  24k v. 2 Jun 3, 2011 6:23 PM Pichak Kelk
 Spanish
HistorialMedico.pdf
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Health History in Spanish.  55k v. 2 Mar 21, 2011 1:25 PM Pichak Kelk
InformacionDelPaciente.pdf
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Paitent Information in Spanish.  48k v. 2 Mar 21, 2011 1:25 PM Pichak Kelk
Payment Policy : PAYMENT IS DUE AT TIME OF SERVICE
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  Mar 21, 2011 1:24 PM Pichak Kelk