El Dorado Family Dental
Cosmetic Dentistry in El Dorado Hills, CA

New Patient Forms

Fill out your patient forms on your own time and at your convenience, and look over our cancellation policy below. Feel free to give us a call if you have any questions or concerns about our forms and policies.

We look forward to seeing you soon!

New Patient Form

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COVID-19 Questionnaire

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Dental History Questionnaire

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Patient Health History

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HIPAA Notice of Privacy Practices

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Appointment Cancellation Policy

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Special Notice to Patients with Insurance

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Acknowledgement of Receipt of Notice of Privacy

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If you have difficulty using our website, please email us or call us at (530) 444-4944
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Dear Respected Patients:

In accordance with the California state guidelines, we will be reopening our office for elective procedures on June 1st. 

During this time, we have implemented additional safety precautions to help protect our patients and staff. Please click here to view our updated protocols prior to your appointment. If you have any questions, please don't hesitate to reach out!