New Patient Forms

Please fill out these forms online using the following links, any needed signatures will be done when you are in for your appointment:

New Patient Registration and Medical History Forms (signature to be obtained when you arrive at your appointment):

HIPAA Forms (signature to be obtained when you arrive at your appointment):

Dental Materials Facts Form

Financial Policy Agreement

Dental Record Release(Please fill out form, print and sign and then forward to your previous dentist)

At this time please ask us to send this form directly to you via email or mail.

Dental Materials:

English: http://www.dbc.ca.gov/formspubs/pub_dmfs2004.pdf or click on the tab on this site called "Dental Materials Fact Sheet"

Spanish: http://www.dbc.ca.gov/formspubs/pub_dmfs_spanish.pdf

Notice of Privacy Practices: Please navigate to the HIPAA tab above to read or click below.

English: http://www.sbgreatsmiles.com/hipaa/

Spanish: http://www.sbgreatsmiles.com/hipaa/

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Why Choose Us?

  • Most Insurances Accepted
  • CareCredit Financing Options
  • State-Of-The-Art Procedures
  • Standard of Excellence in Personalized Dental Care
  • Uncompromising Safety
  • Highly Trained and Skilled Dental Professionals