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Dee Nishimine, D.D.S., Inc.
Sophia Y. Tseng, D.M.D.
Periodontics & Dental Implants
Call: (559)229-6557

Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Dennis Nishimine, Dr. Dee Nishimine or Dr. Sophia Tseng and our caring staff. We encourage questions and do our best to always deliver quality  periodontal implant care.

Please take a moment prior to your scheduled appointment to download our Patient Introduction and Patient Medical Dental History  forms.  We ask that you complete the Patient Medical Dental History form 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 periodontal dental implant needs.

If you prefer not to download this and would like the information sent to you this can easily be done for you.  Please ask and we will be happy to mail this to you.  We will do everything we possibly may to make your treatment easy and to your greatest satisfaction.

NEW ONLINE PATIENT FORMS!

* Please complete all forms online before appointment*
 

Patient Introduction: Fresno Office - Merced Office

Patient Medical Dental History :  English - Spanish

Informed Consent & Concerns W/ Implant Surgery: English - Spanish

Informed Consent & Concerns W/ Surgery: English - Spanish

Informed Consent & Concerns W/ TAD'S Surgery: English

Financial Information: Spanish

 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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