Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Scheduling and Financial Policy

New Patient History Forms

HIPAA-Consent-Form

Oral Sedation Questionnaire

TMJ Questionnaire

 

 

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Antioch Dental Care
Family Dentistry
Creating Beautiful Smiles

At Antioch Dental Care, Our Dental professionals are dedicated to general, family, and cosmetic dentistry with services including dental exams, dental makeovers, teeth whitening, veneers, crowns, x-rays, cleanings, and more. Please call our office (925) 754-2122 to schedule your next appointment.

2025

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