5345 N El Dorado St Unit 2 Stockton  CA 95207-5848
(209) 952-2933

NEW PATIENT FORMS

Our Goal: Helping you keep your smile for a lifetime!

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(209) 952 2933

New Patient Forms

If you are a new patient to our ProCare dentist office, the file below 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.

Printable Forms

Patient Information Form (94KB PDF)
Health and Dental History Form (105KB PDF)
Notice of Privacy Practices Form (564KB PDF)
Acknowledgement of Receipt of Notice of Privacy Practices Form (125KB)

Our Smiling Patients

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Megan Pugh Dental Care Patient

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Amelie Wong Dental Care Patient

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Camilie Atkins Dental Care Patient
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Years Exp
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Satisfied Patient
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Trained Dentist
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