New Patient Offer

 
Welcome Dental Exam $1
Includes exam, full set of xrays
and treatment consultation.
(value of $250)

 
Welcome Back Dental Exam $1
Includes exam and FMX xray
With cleaning $91.

(Must be a patient who has not been in our office within  the last two years)

 
Complete the form below by the deadline.

 
 
Offer expires: 03/10/2010

 


Please enter code above in the field below.

Patient Forms

For your convenience, we have supplied a Health History Form in pdf format.  If you wish, click on the link below, print, complete the form at home, and bring it with you to your first visit!  We look forward to greeting you!

New Patient Form Online Sign-in

New Patient Form PDF

Medical History Spanish PDF

Medical History Chinese PDF



 

 

 

 


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Hercules Dentist      Hercules Dentist
Hercules Dentist      Hercules Dentist