Registration

Here you will find various forms for new patients to complete and bring to your scheduled appointment.

Registration and Treatment Form (Microsoft Word PDF)

Privacy Practices Acknowledgement Form (Microsoft Word PDF)

We Are Concerned About you (Microsoft Word)

Risk Assessment Questionnaire (PDF)

Notice of Privacy Practices (Microsoft Word PDF)
*You may read this but you do not need to print.

Dr. Charu Chandra

North Hills Periodontics

Practice Limited to Periodontics and Implant Dentistry