Patient Registration Sunnyvale

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Questions about Patient Registration? Please call Sunnyvale Office Phone Number 408-736-4332 to speak to a staff member.

Please click on the blue bar/icon below to open registration forms:

Online Registration Form button


Please complete below forms prior to in-person office visit:

COVID-19 Pandemic Patient Disclosures Update

COVID-19 Pandemic Dental Treatment Acknowledgement of Risk Form