Click here to download the Patient Registration: This form includes your contact information, health information, dental history, emergency contact information, insurance information as well as our office policies.
Request for Dental Records: Patients can download this form to authorize the transfer of records/x-rays to Dr. Noohi’s office.
Dr. Referral Slip: Referring Doctors can download our referral slip to provide us with information about the patient and his or her dental condition.
Permission to Use Full Face Images: Dr. Noohi is involved in providing continuing education to other dentists. He may request that you provide permission to show your face in pictures presented in clinical presentations. You are not obligated to provide this permission.
CLICK ON THE LINKS BELOW TO DOWNLOAD THE APPROPRIATE CONCENT FORM FOR YOUR DENTAL PROCEDURE.
- Consent for Biopsy with Local Anesthesia
- Consent for Crown Lengthening
- Consent for Soft Tissue Augmentation and Root Coverage Surgery
- Consent for the Surgical Placement of Dental Implants
- Consent for the Use of Bone Regenerative Procedures
- Consent-for-Consent for Tooth Extraction and GBR
- Financial Policy
- Implant Referral
- Pre-Surgical Instructions
- Post-Surgical Instructions