San Bruno Smile Patient Forms - Download, Print & Complete - Pedro A. Avendaño, DDS

 

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Our Doctor and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.


Health History Forms

Health History

Health History (Spanish)

Health History Forms for children under 12

Health History for Children

Health History for Children (Spanish)

Request of Records/X-Rays

Records Release Form

X-ray Release Form



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We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

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Contact us today!

San Bruno Smile
Pedro A. Avendaño, DDS & Associates
Full Service Family Dentistry


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Pedro A. Avendaño, DDS
Phone: 650-873-8299
797 Jenevein Avenue
San Bruno, CA 94066