Forms & Handouts Patient Forms and Instructional Handouts


Since we are now utilizing electronic forms whenever possible, we have included several of those forms below in the event that you would like to print a copy for your records.

     Records Release for patients transferring to our office

     HIPAA notice eForm

     The Facts About Fillings Handout

     Important Patient Instructions  for an NTI


     Preventing Cavities – Xylitol & Fluoride Info

     At Home Whitening Instructions

     Water Pik Instructions

     Symptomatic Care for TMJ Discomfort

     Occlusal Records for Functional Analysis Information

     Occlusal Equilibration Info




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