Patient Forms

On the day of you first appointment, please arrive 15 minutes early to fill out paperwork and ensure the staff has enough time to set you up. Typical forms you will be required to fill out include a patient's medical history form, patient information form, financial agreement, a notice of privacy practices and consent form, and any other information the office needs before they can begin treatment. Have your driver's license and insurance card ready when you check in at the reception desk.


To speed up the new patient registration process, you may also fill the forms out online by using the button below.


Patient Registration Forms  <>



Financing Options

We are pleased to offer our patients CareCredit, a patient payment plan that allows you to start your treatment right away and pay for it over time with low monthly payments. 

Learn More About CareCredit  <>

Dental Insurance

Golden State Dentistry is in-network with the following PPO insurance plans:

  • Cigna
  • Guardian
  • MetLife
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