Leonard Fu, DMD, FAGD

Family, Cosmetic and Implant Dentistry
Now utilizing "CEREC" 3D Imaging Single Visit Crowns

 


515 South Drive, Suite 10A Mountain View, CA 94040        

 (650) 969-8452
Fax (650) 969-8599

 

New Patient Forms:

Each patient will need to fill out the appropriate medical history form at the time of their first appointment.

** Please alert our office if you require antibiotics prior to receiving any dental treatment. **

Click the link below to open the file in the format you want, and then print it out using your own printer.  After fill it out, bring it with you when you visit us.  Thanks!

 

Adult Medical History Form (in PDF format)...(in DOC format)

Informed Consent for Extractions .(in PDF format).(in DOC format)