General Patient Forms
General Forms

To continue making your dental experience a pleasant one, we have conveniently provided our dental forms below so that you can fill them out in the comfort of your home, and bring them into the office with you or submit them directly online.

If you are the parent or guardian filling out this form for your minor child YOU MUST be present for the first appointment for authorization and ID verification. No exceptions.

General Dentistry Forms
form iconHIPAA Notice of Privacy and Consent
form iconAuthorization for the Release of Dental Records

form iconNew Patient Information
form iconHealth History
form iconCOVID-19 Screening Form
Get The Care You Deserve!

Serramonte Dental Group would love to meet you and your family and provide you with the dental care you deserve! Our office is conveniently accessible to those living near Daly City.

Request An Appointment Online

Or call us today at: 650-756-0938

Hablamos español!