Call: 530. 895. 3449

Patient Forms

Make Your First Visit at our Chico Dental Office Easy!

For your convenience we have made our new patient forms available on this website, reading them at home will expedite your check-in process and your first visit. Because we run a paperless office there is NO NEED TO PRINT or bring in your completed forms. This is specifically so that you may take your time to read and understand our forms in the comfort of your own home and with the flexibility of your own schedule.

If you have any problems with the forms, simply call our office and we will gladly send or fax them to you.   We look forward to meeting you and helping you with your dental needs!

Office Policies

Parent Guidelines

HIPAA Notice of Privace Practices

Medical History

Patient Referral

 Pre-Operative Health and Physical Form


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.


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