Text us 24/7: 916-723-4777 Se habla español Tue–Fri 8am–5pm · Text 24/7

New Patient Forms

Fill in your new patient forms online before your visit. Secure, 256-bit SSL, about 15 minutes.

Before you start

  • Have your list of medications ready before you start.
  • Finish all forms in one go: progress cannot be saved.
  • The medical history has the most required fields; three forms are simply read and sign.
  • Already sent us your insurance information? Skip that part.
  • The dental survey is optional and has almost no required fields.
  • Scroll down to "Sign": use your finger on a phone or tablet, or a mouse on a computer.
  • When all six forms are done, press "Submit" to finish.

Please text us when you are done at 916-723-4777. Save this number in your phone as “Creekside Dental Team”.

Secure patient forms

Hosted by PatientViewer with 256-bit SSL. Nothing you enter is stored on this website.

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