Patient Forms

  • New Patient Form (PDF)
  • Material Fact Sheet (PDF)


  • Insurance



    For your convenience, we have our new patient form online for you to fill out before coming into the dental office. To make your visit smoother, we also posted our “Material Fact Sheet” online for you to view. The Governor of California has mandated us to provide our patient with information of the different materials used.

    Your scheduled appointment time has been reserved specifically for you. We request 24 hours notice if you need to cancel your appointment. We are aware that unforeseen events sometimes require missing an appointment. After missing your third appointment without notifying us 24 hours in advance, you may be charged an additional fee.

    Please call our office at (760) 375-8416 to make an appointment.


    Family and Cosmetic Dentist in Ridgecrest, California
    and the surrounding High Desert.

    Copyright 2014 by "DreamImage"