NEW PATIENT FORMS

Your first visit will be a great opportunity to build the foundation of a long-lasting dental relationship. You'll have ample time during your first appointment to get to know your new dentists and our amazing team! Save time on the day of your appointment by filling out your new patient information prior to your visit. We can't wait to meet you!

New Patient Registration - Fontana

Print, fill out & bring with you on your visit.

HIPAA Disclosure - English

Print, fill out & bring with you on your visit.

HIPAA Disclosure - Spanish

Print, fill out & bring with you on your visit.

Treatment Consent - English

Print, fill out & bring with you on your visit.

Treatment Consent - Spanish

Print, fill out & bring with you on your visit.

For Chino Patients

If you are visiting our Chino, CA office you can find your new patient forms here:

Hope Family Dentistry

(Fontana Office)

17185 Arrow Blvd.
Fontana, CA 92335
Phone: (909) 587-2474
(Driving Directions)

Office Hours

Monday:9am - 6pm
Tuesday:9am - 6pm
Wednesday:9am - 6pm
Thursday:Ortho appt. only
Friday:9am - 6pm
Saturday:8am - 3pm
Sunday:Closed