Jean Francisco Braza, D.D.S. Family Dentistry & Orthodontics 805-981-8880

We love to see you smile!

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NEW PATIENTS

 

 

Please fill out these three forms and bring with you to the office on your first visit.

 

1) Patient information

 

2) Consent Form

 

3) Office Policy and Insurance

 

 

READ ONLY - The privacy notice document below describes how medical information about you may be used and disclosed and how you can get access to this information. Review it carefully. The privacy of your medical information is important to us. Feel free to print a copy for yourself if need be.

Privacy Notice

 

READ ONLY - The information below is about dental materials used in a dental office. Feel free to make a copy for yourself if need be.

Dental Materials Fact Sheet