Patient Forms

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  3. Patient Forms
  1. New Patient Form
  2. Medical History
  3. HIPAA
  4. Supplementary New patient form for Kid/Infant
  5. Pedo Sleep Questionnaire

  1. Clear Aligners Consent Form
  2. Inlay, Onlay and Crown Consent Form
  3. Frenectomy Consent Form
  4. Implant Restoration Consent Form
  5. Laser gum treatment Consent Form
  6. Laser treatment for failing implants or teeth Consent Form
  7. Root Canal treatment Consent Form
  8. Teeth Whitening Consent Form
  9. Extraction/Tooth removal Consent form
  10. Bone Graft Consent Form
  11. Implant Surgery Consent Form

  1. Home Care Instruction for Tao Night Guard
  2. Post-OP Instruction for Atraumatic Extraction
  3. Post-OP Instruction for Atraumatic Extraction--Chinese version
  4. Post-OP Instruction for Tooth Socket Preservation Bone Graft 
  5. Post-OP Instruction for Implant Placement 

Location

10011 N. Foothill Blvd #109, Cupertino, CA 95014

Phone: (408) 737-2988

Email: yuan.tao.dmd@gmail.com

  • MON: Closed
  • TUE - WED: 8:30 am - 5:00 pm
  • THU: Closed
  • FRI: 8:30 am - 5:00 pm
  • SAT: 9:00 am - 4:00 pm
  • SUN: Closed
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