First Visit
Your first visit will consist of an examination and consultation to understand your needs, wants, and to discuss your individual treatment options. Occasionally, treatment can be performed the same day as the consultation. However, to provide optimal care, a complex medical history or treatment plan may require an evaluation and a second appointment on another day. If you have pain or an emergency situation, every attempt will be made to see you that day.
To save time when you come for your first visit, you may pre-register by clicking our secure online form below.
New Patient Form
Are You Ready to Smile With Confidence Again?
Contact us with any questions or to schedule an appointment to reclaim your smile today!
Please provide all of the following information, if applicable, including name(s), phone number(s), and address(es):
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Medical and dental insurance — This allows us to efficiently help you process and achieve your maximum benefits from your insurance coverage.
- Medical condition(s) — This allows us to anticipate individual concerns. Examples are artificial heart valves and joints, mitral valve prolapse, rheumatic fever, diabetes, and high blood pressure.
- Medication(s) — This allows us to cross reference potential interactions. Examples are heart medications, aspirin,and anticoagulant therapy. Some patients may require preventive antibiotics before dental treatment. If you would like further information, call us at Office of Gar N. Chan, D.D.S., Inc. Phone Number 408-847-1234 to discuss your individual situation.
- Current x-rays (within 1 year, if available) — If your previous dentist has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.
IMPORTANT: A parent or guardian must accompany all patients under 18 years of age at the examination and consultation visit.