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PATIENT INFO
Our patient forms have been made available online for your convenience. They can be filled out online and sent to us electronically.

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Patient Information Form
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Medical History Form

OTHER OFFICE FORMS
Patients not able to complete the online version and would rather print and bring them in are free to print and fill these documents in before their next appointment.

- Patient Forms
- Dental Materials Fact Sheet
- Dental Materials Fact Sheet - Spanish
- HIPAA Form
- Office Policies


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Contact Us

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ADDRESS
5500 Telegraph Road Suite #151
Ventura, CA 93003

OFFICE HOURS
Monday - Thursday 9am - 5pm
Friday 8am - 4pm