New Patient Forms
We would like to make your first visit to the office as easy as possible. Please complete these forms before your child’s visit. You can print and bring the forms with you, or email them to us at info@apdsmile.com .
We look forward to seeing you!
If it’s your child’s first time to a dentist, see our tips on how to make their first visit the best it can be .
To view and print these forms, please ensure you are using the latest version of the Adobe Reader.
- Notice of Privacy Practices (PDF)
- Dental Materials Fact Sheet (PDF)
*If the parent is not going to be accompanying their child to the appointment, please fill out the form below:
- Caretaker Authorization Form (PDF)
*For orthodontic consultations, please fill out the form below:
Connect With Us
We'd Love to Meet Your Family
First visit for your baby or orthodontics for your teenager, we're ready. Request an appointment at any of our four Bay Area locations.