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NEW PATIENTS

We always welcome new patients to our practice! When preparing for your first appointment, please print and complete the forms below.

Health History & Welcome Form (Adult)
Health History & Welcome Form (Child)
Notice of Privacy Practices

In addtion to your new patient paperwork, please bring these:
  • Dental insurance card
  • Insurance benefits package
  • List of all current medications
  • Copies of any x-rays taken within the last 5 years.*
*NOTE: Typically the x-rays we request are the last Bitewing x-rays and the last Full Mouth Series or Panorex. The x-rays can be emailed to our office at DrsKitahara@comcast.net.