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Riverside Family Dentist
Patient Forms
Here at the dental office of Dr. Kara Park and Dr. Myung Kee Park, we are dedicated to providing you with the best and affordable dental care. We always welcome new patients, and would like to thank you for referring family and friends to our practice.
Registration Form Health History Office Policy
Please assist us by providing the following information at the time of your consultation if possible:
Registration Form Health History Office Policy
Your initial appointment will consist of a consultation explaining your diagnosis and treatment options.
Occasionally, treatment can be done the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Occasionally, treatment can be done the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Please assist us by providing the following information at the time of your consultation if possible:
- Your referral slip and any X-rays if applicable
- A list of medications you are presently taking
- If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
- Please fill out our patient forms online to save your time in the office.
Accepting New Patients
call 951.780.9800
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Mission Grove Dentistry
285 E Alessandro Blvd Suite 7D, Riverside, CA 92508
(951) 780-9800
care@missiongrovedentist.com