Chompers Pediatric Dentistry & Orthodontics
  • Home
  • About Us
    • Our Award Winning Dentists
    • Sedation Philosophy
    • Administration
    • Assistants
    • History
  • Office Layout
    • Open Concept
    • Private Treatment Rooms
    • Teen Side
    • Play Area, Reception & Photobooth
  • Procedures
    • Examinations
    • Cleanings
    • Radiographs
    • Fillings
    • Crowns
    • Fluoride
    • Silver Diamine Fluoride
    • Sealants
    • Cavities
    • Early Orthodontic Intervention
    • Extractions
    • Pulp Therapy
    • Space Maintainers
  • INVISALIGN
    • INVISALIGN INFO
    • INVISALIGN® FIRST
    • INVISALIGN for TEENS
    • INVISALIGN FOR ADULTS
    • INVISALIGN FAQs
  • Contact Us
  • FAQ
    • Insurance and Payment Options
    • Dental Emergencies
  • For Parents
    • Parking
  • Patient Forms
  • COVID 19 UPDATES

Patient Forms

    Please fill out and submit your child's forms prior to their appointment by clicking on either "New Patient Forms" or "Existing Patient Update Forms".  If you are unable to fill out your forms online for any reason, we kindly request that you come to your child's appointment 15 minutes early to complete them. If you have more than one child coming in for a visit, please fill out one form for each child.

NEW PATIENT FORMS
Patient Screening Questions
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We would love to have you visit soon!

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Hours
​M-F: 8:30am - 5:30pm
Closed for Lunch 1:00pm - 2:00pm
(650) 871-5437
New Patient Forms
Contact Us
  • Home
  • About Us
    • Our Award Winning Dentists
    • Sedation Philosophy
    • Administration
    • Assistants
    • History
  • Office Layout
    • Open Concept
    • Private Treatment Rooms
    • Teen Side
    • Play Area, Reception & Photobooth
  • Procedures
    • Examinations
    • Cleanings
    • Radiographs
    • Fillings
    • Crowns
    • Fluoride
    • Silver Diamine Fluoride
    • Sealants
    • Cavities
    • Early Orthodontic Intervention
    • Extractions
    • Pulp Therapy
    • Space Maintainers
  • INVISALIGN
    • INVISALIGN INFO
    • INVISALIGN® FIRST
    • INVISALIGN for TEENS
    • INVISALIGN FOR ADULTS
    • INVISALIGN FAQs
  • Contact Us
  • FAQ
    • Insurance and Payment Options
    • Dental Emergencies
  • For Parents
    • Parking
  • Patient Forms
  • COVID 19 UPDATES