Patient Forms

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you.

Please fill out our patient forms so we can expedite your first visit. Choose one of these 3 options:

– Print and bring your completed forms with you
– Email your forms- complete, save and send as attachments to info@valleydentalspa.com
– Fill out the forms in our office, please allow 15 minutes prior to your first appointment

New Patient

Medical History

Transfer Information

HIPAA

What to Expect

We are a friendly welcoming office, waiting to make your first visit a pleasant one. Having the necessary paperwork completed will help relieve any unnecessary anxiety you may be feeling. We look forward to your first visit.