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Platinum Dental, Inc.
Cosmetic, Sedation & Implant Dentistry
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New Patient Forms – Platinum Dental – San Marcos

New Patient Forms

Please download and fill out the 3 new patient forms below. For your convenience each form is provided in 2 different formats. The PDF format requires Adobe Reader, which is a free download.

  • Patient Registration Form PDF
  • Patient Registration Form RTF
  • Medical History Form PDF
  • Medical History Form RTF
  • Consent Of Treatment PDF
  • Consent of Treatment RTF

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Platinum Dental, Inc.

555 S Rancho Santa Fe Road
Suite 100,
San Marcos, California 92078
Phone: 7605109009
Fax: 7605108008
Email: staff@platinumdental.com

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555 S Rancho Santa Fe Rd, #100, San Marcos, CA 92078 (760) 510-9009 Copyright © 2022 Platinum Dental, Inc.
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