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Patient Form Downloads

For your convenience, all new patient paperwork can be accessed online. Simply download each form below, complete the forms at home, and bring the forms with you to your first appointment. If you should have any difficulty downloading these forms, please call our office and a knowledgeable staff member will be happy to assist you.

New Patient Forms

 HIPPA Consent Forms
Dental History
 Medical History
New Patient Registration Form
 Office Policies
 Covid-19 Screening Form






Spanish Versions

Antecedentes Dentales
 Antecedentes Medicos





Consent Forms

 Consent for Anesthesia
 Antecedentes Medicos





Consent Forms

 Consent for IV Sedation
 Consent for Conscious Sedation
 Sedation Pre-Op Instructions
 Consent for Bone Regenerative Surgery
 Consent for Extraction
 Consent for Root Canal Therapy
 Consent for Implant
 Consent for LANAP
 Consent for Ortho
 Consent for Ortho Appliances



Our Office

Diablo Vista Dental Care
Dr. Omid A. Fard and Dr. Ellie S. Dary 3631 Main Street
Oakley, CA

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