Patient Forms

If you are a new patient to our office, the forms below will need to filled out when you arrive for your first appointment in our dental office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival. Thank you and please call our dental office if you have any questions or need any assistance.

New Patient Registration Form (coming soon)

HIPAA Privacy Act (coming soon)

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Testimonials

Great Professional Service
I arrived on time and was taken in for my appointment 5 minutes later. The hygienist was professional and did a great job. Then the dentist did an exam and pointed out some things that I should think about doing in the near future. All very nice and personable. A very positive experience, down to the bill payment! I've been going there for some time and will continue to do so.

Larry R. 03/13/2017

Bottom line: this is a 'Dental Spa':}
I mean it! From someone who once thought of all dentists as 'Zell' and patients hearing the question: "Is it safe?" ...... (see Marathon Man for the 'unfamiliar' with these terms); I can only say: I am completely comfortable with Dr. Le and this practice! I mean it. I now travel over 700 miles every 6 months to receive dental care from this incredible practice. Enough said.

Nan T. 02/23/2017