Due to COVID-19 we are requiring ALL PATIENTS to download and fill-up the COVID-19 FORMS, before your appointment and email the PRE-SCREENING FORM to firstname.lastname@example.org. Thank you and please call our office @ 909-799-7777, if you have any questions.
Patient Forms (Print & Complete All Forms Prior To First Office Visit)
ORAL CANCER SCREENING FORM.doc
Pre-appointment screening form
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.