Patient Forms

Please take a minute to fill out the patient information form before your first appointment:

Fill out the Patient Form Online

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Webb and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a minute to fill out the patient information form before your first appointment. We also ask that you complete the forms below and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

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Child Patient
Form

Acknowledgment of Privacy Policies

Adult Patient
Form

Affordable Payment Plans

Your smile is yours forever, and we want to make it as easy as possible for you to receive the best dental care whenever you need it.

** Our practice accepts most major credit cards and insurance plans. **

Accepted Insurances

Our office staff is always available to help you with insurance claims and paperwork, if you have insurance that will be covering any portion of your dental treatment.

Please let us know if you have any questions about your insurance coverage, and how we can help to make your entire dental experience a pleasant one.

  • Blue Shield
  • Metlife
  • Delta Dental
  • United Concordia
  • and more!

fill out the form to schedule an appointment

or give our office a call 707-422-8282

Name
Email
Phone