OFFICE 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.

Upland

536 E Foothill Blvd., Suite E

Upland, CA 91786

Phone: (909) 291-8625

Fax: (909) 291-8629

E-mail: info@imagingdentistry.com

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Fontana

7993 Sierra Ave., Suite D

Fontana, CA 92336

Phone: (909) 428-5111

Fax: (909) 428-5757

E-mail: info@imagingdentistry.com

San Bernardino

2500 Del Rosa Ave.

San Bernardino, CA 92404

Phone: (909) 713-2041

Fax: (909) 713-2073

E-mail: info@imagingdentistry.com