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. 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.
Patient Introduction: Fresno 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.