Welcome to Our Practice
your dental visit to be unlike any appointment you have ever had. We will
explain the benefits and risks of dental treatment and you will never be
pressured into any treatment you do not want. This is our pledge to you. I'm positive that once you visit
us, you will want to be a patient here "for life."
S. Noriesta, D.D.S.
*Please Print these forms out and bring them to your scheduled appointment. Thank you.
New Patient Packet
Medical History Form
Patient Registration Form
Notice of Privacy Practices Acknowledgement
Dental Material Risk to Patients Letter
ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF Privacy Practices
** To open these files, Adobe PDF Reader® must be
installed on your computer. To download free Adobe PDF Reader®,
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