Patient Forms

In order to try to minimize our environmental impact and improve your experience, we are now utilizing electronic forms (eForms) whenever possible.  These are forms that can be filled out either in the comfort of your home through a secure website or the eForms can be filled out here in the office. The forms can be signed before you get here if you fill them out on an iPad or iPhone, otherwise, the eForms can be signed upon your arrival at our office. After making an appointment, we will email you all of the information for connecting to the secure website. Contact our office for more information.

In order to obtain any dental records (X-rays, charting, etc) from your previous dental office, we will need a signed release form:

     Records Release for Patients Transferring To Our Office

In case you would like to print out an additional copy of the forms that we are required to provide for you, they can also be found below:

     HIPAA eForm

     The Facts About Fillings Handout

 

Dan Copp, DDS, Ron Barbieri, DDS & Mike Roberts, DDS

Dentists in San Luis Obispo, California

General Dentistry, Cosmetic Dentistry & Family Dentistry

1131 Pacific Street

San Luis Obispo CA 93401

Tel. 805.543-5321

Fax 805.543.0753