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 Information Form
Child Patient Information Form
Patient Acknowledgement
Cancellation Policy
Personal Financial Agreement
Notice of Privacy Practices
Dental Materials Fact Sheet
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.
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Quality professional team members that pride ourselves in furthering education to ensure you get the quality care you deserve.
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Testimonials
"If I could give 10 stars I would! From the time I called to get an appointment, to the moment I sat on the dental chair I was treated with the best professionalism ever! Everything about Dr. Esguerra and her staff made my dental visit smooth and comfy. My teeth cleaning went very well... Thank you Dr Esguerra and staff you are what other dental offices should be like.. You have a happy patient"
"A "must consider" Dentist. A highly skilled and experienced dentist. Very "light" hands. She will not settle for shotty work, what you deserve is what she strives for. Dr Yolanda is a good communicator in everything dental that pertains to your dental needs. Common sense dental work lives in this office. They are into the latest procedures and equipment. The assistants are very professional. NEVER a let down."
"I have been a patient with this dentist for over a decade and I wouldn't go anywhere else! The office is always meticulously clean, staff is very attentive and friendly, and service is amazing. Dr. Lani is great at making you feel at ease during procedures and cleanings. Flexible appointment scheduling, text message reminders and the staff also calls to remind you of appointments as well."
Contact Us
We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.