General and Cosmetic Dentistry with a Gentle Touch

New Patient Forms

Thank you for choosing Darya G. Ghafourpour, DDS  – we love seeing new smiles come through our door! To save time at your first appointment, please fill out the forms below. Otherwise you will need to arrive 15 minutes early.
COVID-19 Pre-Screen
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COVID-19 Consent
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Patient Information
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Medical History
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Dental History
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Insurance Information
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Communications Release
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Authorizations & Acknowlegements
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