New Patient Registration

Please download and complete the New Patient Registration Form, the Medical History Form and the Dental History Form. Please mail or fax the completed forms to us prior to your first visit.
Our mailing address is:
Pediatric & Adolescent Dentistry
1174 Castro Street, Suite 150
Mountain View, CA 94040
Fax number: (650)-965-7988
(650) 965-8688
1174 Castro Street, Suite 150
Mountain View, CA 94040