If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.
You may email or fax us the paperwork at anytime if you would like at: Info@SikkaDental.com Fax: 408-926-1422
ALL PAPERWORK PAGES ARE AVAILABLE UPON REQUEST, FOR ELECTRONIC SIGNATURES, LET US KNOW IF YOU ARE HAVING TROUBLES**
General New Patient Paperwork:PDFONLINE
Annual Medical Update Patient Paperwork:PDFONLINE
If you are coming to our office as a Special Management or as a Sedation patient we will in addition need these forms filled out as well. We are aware that some of the information may seem the same as the general paperwork but these are requested forms from our Anesthesiologist.
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.
Complete and submit your new patient paperwork online - no printing needed.
Print, fill out and bring it with you so we can attend to you more quickly.
Existing patients: update your medical history online before your visit.
The printable version of the annual medical history update.
Required for Special Management and Sedation patients, requested by our Anesthesiologist.
Health history our Anesthesiologist needs before a sedation appointment.
Consent form for a virtual consult or teledentistry appointment.
Treatment consent form for composite fillings.
Treatment consent form for crowns and bridges.
Treatment consent form for tooth extractions.
Treatment consent form for root canal therapy.
Treatment consent form for non-surgical periodontal therapy.
