57340 29 Palms Hwy, Yucca Valley, California 92284, United States

(760) 365-0774

New Patient Forms

We want your first visit to be as comfortable as possible. We ask that you arrive to your first appointment 15 minutes early so that you have time to fill out some simple forms. If you prefer you can print the forms using the link below and fill them out before you arrive. This will allow us to spend as much time with you as possible. The forms include medical and dental history and insurance information. Please bring the names and dosages of all medications that you are currently taking or have taken in the last three weeks.

Desert Hills Dentistry New Patient Forms (pdf)


X-ray Release

Your first visit will be a comprehensive exam which includes a head and neck exam, examination of the teeth and gums, and a full treatment plan. If you have had dental x-rays recently, we recommend that you contact your previous dentist and request that they send copies to our office. You can print out the form below, sign it, and send it to your previous dentist's office to have them send your x-rays before your exam.

Desert Hills Dentistry X-ray release (pdf)