(650) 325-1555

Call: (650) 321-0915

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Patient Forms

We want to welcome you to the Peninsula Smiles family!

We are glad that you are interested in becoming a patient of Peninsula Smiles in Menlo Park, CA. New patients are always welcome here. Everyone at Peninsula Smiles is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. Nabeta, Dr. Salcedo, Dr. Morita and the Peninsula Smiles team

 

Click below to download New Patient Registration Materials

 

New Patient Form

HIPPA Privacy Form