Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Javaheri and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

New Patient Forms

HIPAA Privacy Act

Acknowledgement

Dental Materials

Release Of Records 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

Connect With Us

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Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Ready to come in for an appointment?
Contact us today!

Dino S. Javaheri D.D.S., Inc.
Creating Beautiful Smiles

Danville Dentist, Dr. Dino Javaheri is dedicated to family dentistry such as Exams, Teeth Whitening, Veneers, and more. We are looking forward to your visit to our Danville, California dental office.


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