Forms

Patient Forms, Map and Directions to Pinole Office

Your first visit to our office establishes a vital foundation for our relationship with you and your family. During the first visit, we make sure to obtain important background information, such as your child's medical and dental history, and give you time to get to know the doctor. To understand  what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need including a map and directions to our office, practice hours, payment policies, and more. There's also background information about our committed  staff and our first visit procedures. You can even save some time at your first visit by completing the patient forms in advance of your appointment.

Patient Forms

Please fill out and submit the electronic forms below so we can expedite your first visit:

Complete New Patient Packet

Medical History (New Patient)

Financial Arrangements (New Patient)

Registration Form  (New Patient)

HIPAA/Dental Material Fact Sheet  (New Patient)

Medical History Update (Current Patient)

Please review the forms below:

• Welcome Letter
• What to Expect During Your Child's Visit
• How Can I Best Help During My Child's Visit

Other forms:

• Authorization for a Care-Taker (non-legal guardian) to Accompany a Minor to Appointments 
• Comparison of In House IV Sedation vs. Surgery Center/Operating Room
• Pre Op Instructions I.V. Sedation
• Pre Op Instructions Oral Sedation (English)
• Pre Op Instructions Oral Sedation (Spanish)
• Post Op Instructions I.V. Sedation
• Post Op Instructions Oral Sedation
• Description of Silver Diamine Fluoride (English)
• Description of Silver Diamine Fluoride (Spanish)
• Consent for Silver Diamine Fluoride
• Dental Intake Form - Autism
• Brush and Floss Calendar
• Benefits of a Panoramic X-Ray
• Dental X-ray Information Sheet
• Permanent Tooth Care
• Toddler Tooth Care
• GERD Guide (Reflux)
• Oral Health Books for Children
• California Dental Materials Fact Sheet (English)
• California Dental Materials Fact Sheet (Spanish)

In order to view or print these forms you will need Adobe Acrobat Reader installed.  Click here to download it.

What To Expect
Being well-prepared for your child's appointment will ensure that Dr. Sabbadini has all of the information needed to provide the best possible care for your child. It also will help relieve any unnecessary anxiety you may be feeling. Please review the pages on the website and read the "What to Expect During Your Child's Visit" page located above. Feel free to view the About Us page and familiarize yourself with Dr. Sabbadini and our staff. We look forward to your first visit.