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Brian N. Beres, DDS
Nipomo Dental Office
Creating Beautiful, Healthy Smiles
Call: (805) 929-3277

Patient Forms

Make Your First Visit Easy!

We have made our new patient forms available on this website for your convenience!  You can print out and complete our new patient forms at home before visiting our office.   Bringing your completed forms in with you will save time and help expedite your check in process and your first visit.

If you have any problems with the forms, simply call our office and we will gladly send or fax them to you.   We look forward to meeting you and helping you with you dental needs!

The forms here are Adobe Acrobat files. If you don't have Adobe already, you'll need the free Acrobat Reader to view and print them.  Free download below.

Patient Registration Forms

Patient Consent Forms

Medical Health History

Dental History

Office Policies

COVID-19 Patient Screening Form

Spanish Patient Registration Forms

Spanish Patient Consent Forms

Spanish Medical Health History Forms

Spanish Dental History Forms

Spanish COVID-19 Patient Screening Form