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 on your arrival. Thank you and please call our office if you have any questions at all.
New Patient Form (1 of 2)
New Patient Form (2 of 2)
Reminder Preference Form
Dental Records Release Form
Insurance Release Form
Notice of Privacy Form
My husband and I both see Dr. Zojaji for all our dental needs. She is extremely knowledgeable and efficient. Between us we have had extractions, fillings, and normal cleaning over the years. We highly recommend Dr. Zojaji to everyone looking for a stress free dental need.
Reba M.
I am most pleased with Dr. Zojaji's service: appointments schedule; and my teeth and gums are the better for her expertise.
Stephen F.
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