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Patient Forms

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Couple happy to know that they can fill out their Oxnard, CA dentist forms conveniently online
At Vista Pacific Dental Care we strive to provide the best dental care and exceed our patient’s expectations. Your time with us is important, and to minimize the amount of time spent completing paperwork in our office, we have provided some important documents that we may ask you for. Please prepare for your first appointment by completing our new patient information forms. Download the forms to your computer to complete at home. Then bring them with you to your first appointment.

If you would rather complete paperwork at our office, we ask that you arrive 15 minutes before your scheduled appointment, enjoy a complimentary beverage, and feel free to ask for our assistance with any questions you might have.

To download and fill out forms ahead of time:

  1. Click on the links below to open each form in a new tab.
  2. Click the “Download” button, or right-click and select “Save Page As” to save the form to your computer.
  3. Once downloaded, open up each PDF document in Adobe Reader. To complete the forms, click in each blue box and type your answer; then save the document when you are done and print it out. (You can also print the forms out first and write your answers.)
 
New Patient Information Forms
 
Health History Form
 
HIPAA Notice of Privacy Practices
 
Privacy Notice Acknowledgement Form
 
Facts About Fillings
 
Financial & Insurance Information