Patient Forms, Map and Directions to San Jose Office
Your first visit to EZ Dental establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
- Medical / Dental History
- Financial Policy Consent
- Notice of Privacy Practices
- Acknowledgement of Receipt of DMFS & Privacy Practices
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it:
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. It also will help relieve any anxiety you may be feeling. If you are experiencing any symptoms, you may want to educate yourself by reviewing the content on this web site. Please be sure to tell your doctor of any symptoms or concerns you may have. Some patients forget to communicate concerns to their doctor when they have a visit, we recommend writing them down before your visit and include that information on your patient forms. We look forward to your first visit!