925-391-2718 2917 Salvio Street, Suite B
Concord, CA 94519
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New Patients Form

To make things easier for you, we have provided the forms you’ll need to get your dental appointment started quickly and easily. These will include basic information about yourself, your dental history, and your insurance, and they will help us get to know you and streamline your subsequent visits for your convenience.

Among these forms, you will be asked to sign our notice of privacy, which you can read at your leisure here. By signing this, you will agree that you have read it and that you understand your rights as a patient at Robert I. Hlavac, Dental Corporation in Concord, CA.

Take a look through the new patient forms provided below. Fill out the forms that are necessary for you, and bring them with you to your first appointment! We can’t wait to see you!

If you haven’t yet made your first appointment, call us today at 925-391-2718 , or fill out our convenient online form to get started!