Easy Electronic and Paperless Patient Forms

At our Riverbank dental practice, we are accepting new patients and our team appreciates your trust in our services. To help you save time and have a more convenient experience during your first visit, we offer the option to fill out electronic forms using your computer, tablet, or smartphone. If you prefer this option, please contact us at 209-315-6300 to receive all the necessary forms electronically.

If you prefer non-electronic forms, don’t worry, we have you covered too. Simply download, print, and complete the forms provided in the links below. Bringing the completed forms to your first visit will help us assist you more efficiently and deliver quality care on time.

We understand the importance of protecting your sensitive personal data, and we ensure every precaution is taken. Click on the links below to download the patient registration forms and get started on your journey to better dental health.

Technical Note: To view our form, you need to download the latest version of Adobe Acrobat Reader from Adobe’s web site.