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Contact Us Today!

(707) 583-9263

Patient Information

Welcome to our Santa Rosa dental practice. We love our patients and getting to know about you and your oral health care needs.

If you are a new patient, please download and complete our New Patient forms below prior to your initial visit. (And remember to bring them with you!)

Thank you in advance, Dr. Andrew McCormick and Staff

Patient Forms

To assist in your wait time during your office visit, we've provided patient forms for you to fill out in the comfort of your home prior to visiting our office.  

Patient Form - Download Here

Consent for Treatment - Download Here

Dental History - Download Here

Medical History - Download here

HIPAA Notice - Download Here

Need Help Paying For Your Dental Care?

If you need dental care but are not sure how to fit it into your budget, CareCredit can help. Their simple and easy process of applying for the funds you need to make sure your smile is healthy and last a lifetime only takes a few moments.

Use this calculator to see how paying for your dental care can be more affordable by paying monthly over time.


The Nation's Premier Dental Membership Plan

Imagine a dental plan that has no monthly premiums and no isurance company telling you what is or isn't covered. That's Quality Dental Plan. With QDP, there's not waiting period, so you can receive treatment right away.  Click here to learn more.

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