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

COVID-19 Questionnaire

Dental History Questionnaire

Patient Health History

HIPAA Notice of Privacy Practices

Appointment Cancellation Policy

Special Notice to Patients with Insurance

Acknowledgement of Receipt of Notice of Privacy

We Look Forward to Meeting You!
If you have difficulty using our website, please email us or call us at (530) 444-4944
View the ADA Accessibility Statement