Instructions for Completing New Patient Forms
If you would like to fill out your New Patient Forms before your appointment, please print the following 3 forms. If you do not know some of the answers, leave it blank and Dr. Kitagawa will address it during your appointment.
For Children Under 12
For children under 12 years old please fill out the Child History Form instead of the New Pateint Registration Form, Dental History Form and Medical History Form.