If you are a new patient, we would like to meet you and understand your special requests and explore ways to customize your experience at Serang Dental Associates. We will give you a tour of our practice and be happy to discuss how we can make our dental office a place you feel comfortable.
If you would like a more efficient appointment, please print out the document below that contains both our Office Policies and Medical History forms, and have them filled out when you arrive at the office.
Please call our office to schedule a one-hour new patient visit and cleaning with one of our dentists. We look forward to meeting you!
We need the following for NEW Patient Registration:
(Fill out online patient info -> Sign forms in office)
1. Patient info data entry online - Click here to start: New patient registration link.
2. Sign Patient info, Med Hx, Office Policy - Kiosk signature in-office.
3. a)Covid-19 form - Kiosk signature in-office.
b)Covid-19 form other option - print/fill&sign/email to firstname.lastname@example.org
Other information for your records only:
|Notice of Privacy Practices copy - No signature required|
|File Size:||16 kb|