Patient Registration & Health History
Registration, insurance details, medical history, treatment consent, and practice policies.
Rialto, California
Patient Forms
Everything you need to
feel prepared for your
next visit.
Before Your Visit
Let's Get You Ready
We want your visit to be comfortable and straightforward. Review the patient documents below and bring any completed forms to your appointment.
Patient Documents
Download Your Forms
These are the same patient packets available at our Yucaipa office. You can view them online or download and print a copy.
Health History & Consent Forms
Patient information, dental and medical history, financial policy, privacy acknowledgement, and authorizations.
Bring completed forms to your appointment. Please do not email completed health-history forms or sensitive personal information through an unsecured channel.
Your First Appointment
What to Bring
Here are a few things that can help make your check-in easier:
- A photo ID
- Your dental insurance card, if applicable
- A current list of medications
- Any dental records or X-rays the office has asked you to bring