Stay Convenient with Your Dentist in Lincoln CA and Our Printable Patient Forms

For the convenience of our patients, we've provided our patient forms so you have the ability to print them out and fill in your information in the comfort of your own home. Your dentist in Nolan CA knows that it can be stressful to fill out these forms, which is why we encourage you to take your time in order to properly fill them out.


Once these forms are completed, you can hand them to us for your appointment, sit and wait until we're ready--that's all!


If you have any questions, please don't hesitate to give us a call at (916) 645-1138 today!



Patient Registration Form


Medical History

Appointment request
Need an appointment with a dentist in Lincoln ? Requesting an appointment at our Lincoln, CA family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments