Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Patient Forms

Patient Screening Form

(Print & Complete All Forms Prior To First Office Visit)

 


This web site uses files in Adobe Acrobat Portable Document Format
(pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.  

Where to Find Us

Call: 858-693-8448

9329 Mira Mesa Blvd
San Diego, CA 92126

Email: drbaltazardds@gmail.com

Dr. Wilfred Baltazar in San Diego is dedicated to General & Family Dentistry with services including Dental Exams, Dental Makeovers, Teeth Whitening, Veneers, Crowns, X-rays, Fluoride, Cleanings, & more.

9329 Mira Mesa Blvd|
San Diego, CA 92126

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