Please fill out these two forms prior to coming to our office. Thank you.
Patient Information
Medical History
These are the documents that will be presented to you to read at your first appointment. To save some time on your first appointment, you can read these ahead of time.
Notice of Privacy Practices
Patient Rights
Dental Material Fact Sheet Booklet
Consent for xrays, exam and cleaning
Send Us A Message
We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.
9220 Haven Ave, Suite 105, Rancho Cucamonga, CA 91730
(909) 463-4190
VictoriaVillageDental@gmail.com