"Made me feel comfortable." - Russell J. on  Google
Home / Your Visit / Patient Form

Riverside Family Dentist

Patient Forms

Divider


Currently, we don't offer online patient forms. Please visit our dentist office in Riverside to fill out the patient forms. If you have any questions, please contact us today!

Here at Dr. Myung Kee Park's dental office, we are dedicated to providing you with the best and affordable dental care. We always welcome new patients, and would like to thank you for referring family and friends to our practice.


Registration Form   Health History   Office Policy



Your initial appointment will consist of a consultation explaining your diagnosis and treatment options.

Occasionally, treatment can be done the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.


Please assist us by providing the following information at the time of your consultation if possible:

  • Your referral slip and any X-rays if applicable
  • A list of medications you are presently taking
  • If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
  • Please fill out our patient forms online to save your time in the office.


Accepting New Patients

call 951.789.6886

Divider
The first step toward achieving a beautiful, healthy smile is to schedule a consultation.

Appointment



Get Started

Let's Talk About Your Smile






Testimonials

Our Patients Love Us!