Online Forms
Forms for Patients
Patient registration forms (may be completed and submitted prior to scheduled appointment):
- Sacramento - Patient Registration Form (online PDF)
- Elk Grove - Patient Registration Form (online PDF)
- Woodland - Patient Registration Form (online PDF)
Other patient forms and documents:
- Financial policy and endodontic treatment / root canal therapy fees (PDF)
- Notice of Privacy Practices / Privacy Policy (PDF)
- What to Expect After Surgery (PDF)
- Online Patient Satisfaction Survey
See
technical note below.
Technical
Note: Our online forms use the Adobe Acrobat Plugin to allow patients
the convenience of completing their health history and registration forms from
home or work.
Mac Users: You must open and submit the form in a Safari Browser and also have the latest Mac Operating System. It is important you also have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly. Please download the free plugin from Adobe's web site. You Must OPEN the Adobe Reader Application after installation and make Adobe Reader your DEFAULT SAFARI PLUGIN for Viewing PDF Files.
PC Users: Our online registration forms use the Adobe Acrobat Reader 9 or greater plugin to to successfully use our online registration forms. Please download the free plugin from Adobe's web site if it is not already installed on your system.