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Patient Forms

Online Patient Forms

We can’t wait to see you as a new patient at Ace Dental in Roseville! To make the process go more smoothly on your first trip to our office, here are the forms you will need to complete. Printing them and filling them out ahead of time will save you time and will get you into your appointment and back to your busy day more quickly.

Patient registration

This form will give us important information about your primary and secondary insurance coverage, emergency contact information, information about your spouse, your employer, and basic information such as your occupation, address, and phone number. We would also love to know if you heard about us from a friend or relative, so we can say thank you to them!

Health history

This form asks about any health issues you have or have had in the past, some information about your family’s health history, information about any medications you take, and information about any allergies you have.

It is important that you fill out this form as thoroughly and completely as you can. Sometimes a medical issue, allergy, or medication that you take may not seem important to you, but it can be very important when it comes to your dental care.

Office policy

This form will tell you everything you need to know about our office policies. This includes information about payment for services, charges for delinquent accounts, and using insurance, as well as some legal information about your health information, your privacy, and your rights. It also covers the patient email/text messaging policy.

Dental material fact sheet

This sheet has some information about the materials typically used for fillings and other restorations. It will tell you some advantages and disadvantages of the different materials so that you will be better able to choose which kind of material is right for you.

In order to save your time and get you seen faster, please print, fill and bring along the following forms.

Patient Registration

Health History

Dental History

Office Policy

Dental Material Fact Sheet

Dr. Karanvir Sibia and the staff at Ace Dental in Roseville are looking forward to seeing you and helping you to achieve a healthy and beautiful smile! Call us at (916) 772-0111 to make an appointment today!

Questions about your forms? Our team can help!

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