Our patient forms have been made available online for easy access. Please feel free to download and fill out these forms at your own convenience.
Personal Information Form
Medical History Form
HIPAA Notice of Privacy Practices
Call us Today!408-267-2303
We Do Not Accept Medicaid
We Do Not Accept Medicaid
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COVID 19 UPDATE:
We are open and look forward to seeing you! Please call us 408-267-2303 to schedule your dental treatment and preventative appointments. It is extremely important to us that you maintain your oral health.
We have worked hard the past few months to continue to improve our office and make it an even safer place for patients. We have limited the waiting room to one person at a time and will be taking your temperature and asking you questions on arrival. Feel free to call us, 408-267-2303 if you have questions about additional precautions we are taking, or see our precautions listed HERE we are happy to share those with you. We look forward to your visit!
As stated before, FREE VIRTUAL CONSULTS are available via the link here on the website.
Sincerely,
Dr. Stephen Beveridge and Dr. Erin Beveridge
Ross Ave Cherry Ave