Cosmetic, Implant & 
       Sedation Dentistry
      Sonny V. Eslampour, D.D.S.

phone (760) 510-9009

555 S. Rancho Santa Fe Road, Suite 100
San Marcos, CA 92078
staff@platinumdental.com

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New Patients

Please print and fill out the following 3 documents. And remember to bring them with you to your appointment.

Before you can print these forms you need to have Adobe Reader installed on your computer. Click here for your Free version of Adobe Reader.

1. Patient Registration Form

2. Medical History Form

3. Consent of Treatment

Thank you and we look forward to seeing you.

You can click on the following for location and driving information.

 

 

 

 

 

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