Patient Forms - Westminster Dental Associates - Dr. Claude Pareja

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Patient Form

You can save time by printing out these froms and filling them in for your first visit - thank you! We look forward to getting to know you and helping you create the smile you've always dreamed of.

Thank you!

1. Patient Registration Form I
Patient Registration I

2. Patient Registration Form II
Patient Registration II

Testimonials

  •  Every time I come here I leave with a warm feeling and a great smile. ....

    Austin R.

  •  Does a good job, always has a smile on her face.....

    Anabel V.

  •  He is kind, considerate, understanding and never lectures!....

    Einstine P.

  •  Very nice staff.....

    Mickey M.

  •  Your service is excellent – I really am happy to receive this fr....

    Lex W.

  •  You guys Rock!!! I love how the staff knows me by name.  Your sta....

    Patrick W.

  •  The staff knows my name and everyone is so kind and caring. Thank you ....

    Todd T.

  •  You are the best. We need more people like you in the world. Thanks fo....

    Leonard R.

  •  I love Dr. Pareja! He’s perfect and the first dentist in my life....

    Missy D.

  •  She answered any and all questions the children had. Informative about....

    Isabelle G.

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