Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out, and bringing them with you, will allow us to attend to your medical needs more quickly than completing them upon your arrival.  Thank you and please call our office if you have any questions.

Patient Forms (Print & Complete All Forms Prior To First Office Visit)

Dental History 

Medical History

 

 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.

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Rickey J. Wong, D.D.S.
Creating Beautiful Smiles

San Leandro dentist, Dr. Wong offers quality dentistry with services including cleanings, teeth whitening, veneers and more. Call us at 510-483-2616 today.


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