Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are linked below so you can accelerate your check-in process. If you are unable to complete our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms. Contact salinaoms@gmail.com for more information.

Patient Forms & Resources

Please complete forms 1-6 prior to your appointment.

  1. Patient Registration Form
  2. Health History Form
  3. Insurance, Financial, and Privacy Policy
  4. Consent to Dental Photography
  5. Notice of Privacy Practices
  6. Acknowledgment of Privacy Practices

*Individual results are not guaranteed and may vary from person to person. Images may contain models.