Patient forms
First visit

PATIENT FORMS

To facilitate the initial visit process, you may download the three forms below, and fill them out prior to your appointment. Bring the completed forms with you to your first visit.

New Patient Registration Form (PDF)

ADA Health History Form (PDF)

HIPAA Patient Privacy Notice & Consent (PDF)

Read the Full HIPAA Rules & Regulations (PDF)

Address of Fresno Dental Works

5671 N Palm Avenue
Fresno, CA 93704

Phone number to Fresno Dental Works

Call Us
(559) 252-7600
Fax: (559) 431-1665

Email address of Fresno Dental Works