Patient Forms

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Patient Registration

Form for Referring Doctors


Our office is located at: 720 Cowper Street, Palo Alto, CA.


Ready to Improve Your Smile?

Call us with any questions or to make an appointment.

650-328-6622