Patient Forms

New Patient Form

Please fill out our online new patient form before your first appointment. You can do this by following the link below:

New patient form clipboard

COVID-19 Screening

As part of our new COVID-19 protocol, recommended by the American Dental Association, we will be asking a few screening questions prior to your appointment as well as upon check-in. To expedite this process, you can fill out part of the form before you arrive for your appointment. Please follow the link below to download and print the form:

COVID-19 screening form clipboard

A REASON TO SMILE

WHAT MAKES US UNIQUE?
  • Top Notch Staff Image Top Notch Staff

    Each member of our team is highly trained, responsive, and attentive. Everyone is dedicated to providing a warm and safe dental experience that exceeds patients’ expectations.

  • Patient Involvement Image Patient Involvement

    We encourage each patients involvement in their treatment and empower the individual to make informed decisions about their care after gaining a full understanding of their options.

  • Overall Health Image Overall Health

    Our care goes beyond the chair, we offer useful, practical advice and guidance to support patients as they make positive nutritional, lifestyle, and home dental hygiene changes.

  • Dog Friendly Image Dog Friendly

    Furry friends can ease anxieties; we welcome patients to bring their companion along to appointments. We also have in-house emotional support dogs and happily make them available.

  • Focus on Education Image Focus on Education

    We embrace continual learning to stay current on the latest high-tech, conservative dental technologies and methodologies. We also emphasize patient education, tailored to the individual’s needs.

  • Comfortable Atmosphere Image Comfortable Atmosphere

    Our San Jose dental offices are welcoming, relaxing spaces where patients are assured they are in caring hands. From inviting reception areas to well-cushioned and supportive treatment chairs, we want patients to feel at ease.

Contact Us 

How can we help? Let us know if you have a question or would like to schedule an appointment.

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    By letting us know who referred you, you will receive a $25 credit towards your next service. The friend you named will also receive a $25 credit off their next service.
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