Regis Atienza DDM and Annabelle Atienza DDM Dentistry for Children and Adults 1240 Robinhood Dr. Suite C Stockton CA 95207 (209) 594-1119 Monday to Thursday 8:00 am to 6:30pm
Regis Atienza DDM  and  Annabelle Atienza DDM  Dentistry for Children and Adults    1240 Robinhood Dr. Suite C      Stockton CA 95207     (209) 594-1119Monday to Thursday   8:00 am to 6:30pm 

Patient Forms

New patient? Please download and fill out the following forms when you come in for your first appointment.

Patient Medical History Form

This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.

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Patient Medical History Form
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Privacy Notice

Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy. This form should also be brought to your first appointment.

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Privacy Notice
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Make an Appointment

Call: (209) 594-1119

Fax:(209)594-1740

email: atienzadental@atienzafamilydental.com

Text: (209)405-3190

 

1240 Robinhood Drive 

Suite C

Stockton Ca 95207

 

 

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