Patient Forms

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Welcome New Patients!

Once you’ve called us and scheduled your new patient appointment, then please click on the yellow box “Online New Patient Form” and complete before your appointment. These forms can be filled out from your computer. Once you hit “Submit” it will automatically be sent to our office computer. If you would rather print the forms, please click on the blue box. These can be filled out in the comfort of your home and brought in with you to your first appointment. Please allow yourself 10-20 minutes to complete these forms.

Online Form Click Below


Printable PDF Form Click Below


Your First Experience

When you call our office for the first time, you will be greeted by one of our Patient Care Coordinators, Annette, Diane, or Alisa, who will gather your contact, dental health, and insurance information before scheduling your first appointment.

Your first appointment is a new patient exam which includes:

  • A full mouth series of x-rays and
  • A comprehensive oral exam with Dr. Ing or Dr. Uehara

Any follow-up appointments may include:

  • A professional cleaning with Nora, Didi or Trisha, our hygienists
  • Treatment with Dr. Ing

Debbie, Justine, or Jessica our dental assistants, will be by your side throughout your visits with Dr. Ing or Dr. Uehara. They assist the doctor to gather and record the information needed to assess and determine the health of your teeth. They will take intraoral photos, digital x-rays of your teeth, keep your mouth clean and dry during procedures, and if necessary, take impressions or take a digital scan of your teeth for bridges, crowns, dentures and other treatment.

A comprehensive examination helps our doctor to determine if there is an immediate problem that needs to be fixed, such as a cavity. During this visit, Dr. Ing or Dr. Uehara will learn about the smile you would like to achieve. Based on your wishes, our doctor will present a treatment plan to restore any problems, and offer you elective cosmetic options to achieve the smile you’ve always wanted. The treatment that you receive is ultimately up to you.

Following your initial examination, we will then schedule your next appointment with one of our hygienists. Nora, Didi or Tricia will provide a professional cleaning of your teeth and assess the health of your gums. Cleanings are usually performed twice a year, although your periodontal condition will determine the recommended number and type of cleanings per year.

Clear communication is the key to making sure you receive the smile you’ve always wanted. Please be sure to ask questions and discuss your expectations, so that we have a clear understanding of what you hope to achieve through your treatments.

Make An Appointment

Yes, we’re accepting new patients! Click the button below, and we will do our best to schedule an appointment on your requested date and time. A confirmation email or phone call will follow with your selected time.