Please print out our patient forms, fill them out, and then bring them with you to our office at your appointment in Rocklin, California. Instructions for night guards, fluoride stent use, and implants are included. We, at Placer Prosthodontics Inc., look forward to serving all your dental health care needs. For questions, please contact Dr. Craig Wada.

We look forward to meeting you and taking excellent care of you while you are our patient.

Download PDF

Medical History – Download & Print Form
HIPAA Form – Download & Print Form
Material Fact Consent – Download & Print Form
Photo Release – Download & Print Form
Material Facts – Download & Print Form
Provisional Home Care Instructions – Download & Print Form
Implant Provisional Care Instructions – Download & Print Form
Denture Home Care Instructions – Download & Print Form
Fluoride Home Care Instructions – Download & Print Form
Night Guard and Splint home care instructions – Download & Print Form

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