David A Johnson, DDS

Family, Cosmetic and Implant Dentistry
Now utilizing "Cerec" 3D Imaging Single Visit Crowns


505 South Drive #9
Mountain View, CA 94040
Ph 650-967-1075
Pg 650-217-0011
map & hours

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Links to new patient forms:

Each patient will need to fill out the appropriate medical history form at the time of their first appointment.

The person responsible for payment will also need to fill out the "Office Policy Form".You can print these forms by clicking on the corresponding link below;

** Please alert our office if you require antibiotics prior to receiving any dental treatment. **

Adult Medical History Form (pdf format).............Adult Medical History Form (doc format)

Child Medical History Form (pdf format).............Child Medical History Form (doc format)

Office Policy Form (pdf format).......................Office Policy Form (doc format)

 

Other Forms:

Informed Consent for Extractions .............(pdf format).............(doc format)