Patient Forms 2018-04-20T18:32:01+00:00



To help you save time on your next visit to our website, we’ve included the following downloadable patient form:

Click here for Adobe .pdf File – New Patient Form

Or Click here for Word document – New Patient Form

Click on the above form to download it and print it from your home-computer. This way you will be able to fill out the form whenever you have spare time, and bring it already filled out to our office. This way we can help you save time and help you receive the care you need much faster. Feel free to call us if you have any questions.


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“Dr. Tehrani is the ideal dentist. Always takes care of my needs and is never pushy on selling me on things I do not need.”

“Several years back my then dentist referred me to Dr. Tehrani for a root canal. I never went back to my original dentist. Dr. Tehrani is kind, gentle, and very professional. I appreciate that he always takes the time to explain the whys behind any recommendation he makes. His well trained staff makes the mechanics behind my visit go smoothly every time and they are always upbeat and positive both in person and on the phone.”