Everything You Need for Your 1st Appointment

If you’re a new patient, we ask that you print and complete the “Patient Forms” file below before your first appointment. Doing so will allow us to serve you more promptly when you visit our office for the first time. Please call us at 209-478-3036 or email us at info@deerparksmiles.com if you have any questions as you review the forms.

Thank you for taking the time to complete our new patient forms before your consultation!

Patient Forms (Please print and complete prior to your first appointment.)

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Contact Us Today

*All indicated fields must be completed.
Please include non-medical questions and correspondence only.

3427 Deer Park Drive, Suite C, Stockton, CA 95219 |


Monday – Thursday : 8am – 5pm
Friday : 8am – 4pm
Weekends: Closed

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