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Forms

Forms

We appreciate your time, therefore we put necessary forms available for patients to fill out prior to their dental visit.  In order to fill out the New Patient Information form you will need Microsoft Word 2007 and greater. Please fill the form out on your computer, press tab to get to the next highlighted section, once finished filling the form save to your computer and send it via email to contact@sinceresmiles.com.  Or simply print and bring to your dental appointment. The PDF files are for your information only and do not need to be brought to the office.

Paperwork for Financing

Please click on the link(s) below to open up the application to get approved for financing. Once forms are filled out press accept and submit button and wait for approval.

CareCredit Dental Financing CitiHealthCard
care_credit180x150-02b citicard
We proudly service patients in the greater San Jose Silicon Valley
San Jose • Cupertino • Sunnyvale • Campbell • Palo Alto • Mountain View • Los Gatos • Saratoga • Evergreen • Berryessa • Milpitas • Fremont