First Visit form for adults

We are pleased and excited that you have chosen Dr. Vo and his associates to be apart of your road to a healthy and happy smile.  For your convenience, here is our Adult First Visit Form for new patients age 18 and older.  This form is available in English or Spanish and can be completed at home.  Although not required, having this completed form and a signed copy of our Acknowledgement of Privacy Practice Form (can be found under Privacy Notice and Consent section) with you on your first appointment will help us expedite your check-in process and ensure your upcoming visit will be as pleasant as possible.  Please contact us if you have questions or need further assistance completing this form.

 

 

Adult First Visit Form [PDF] (English)

Adult First Visit Form [PDF] (Spanish)