Patients Info
Patient Forms

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.

New Patient Questionnaire

Payment Policy

When paying for dental services, we accept cash, check, and most major debit/credit cards:

Cash
Check
MasterCard
Visa
American Express.

We offer two convenient payment/financing options:

Credit Card - We are more than happy to find a comfortable payment plan for you in order to afford your dental services. Your card will be charged monthly, and spread out over the amount of your treatment. No finance charges or interest will be added during the term of your payment.

CareCredit - CareCredit is a financing company that will finance your dental service(s). Usually they offer 18-months of interest-free payments and many different payment options are available with CareCredit. If you are thinking about using CareCredit, we will go over your options during your first visit.

Apply for CareCredit Financing

Payment is requested at the time services are rendered. Depending on your treatment and if you are on a payment plan, this requirement will vary.

A Beautiful Smile Is Waiting For You

Our office provides smile makeovers to achieve the beautiful, natural look you seek. We can reshape your natural teeth to make them straighter and more youthful. Our office is easily accessible and makes it convenient to those living near San Jose to get the care they deserve.

Or Call Us Today
(408) 340-6480