Superbrush
Fluoride Rinse
Xylitol
MIPaste
Sterilization
X-Rays
Equipment
IV Sedation
Pre/Post Instruction
About us
FAQ
NEW PATIENT FORM
PAYMENT INFO
Contact us
New Patients Only
Dr. H. Grace Yeh
1148 S. Garfield Ave.
Alhambra, CA 91801
626.300.1199
Home
-> New Patient Form
New Patient Form
Our forms are available to you online. Please make sure to fill out both sides of each form.
Print them out and fill them in prior to your visit to save you time in the office.
If you need Acrobat Reader,
Clich
Here
for free download.
Quick Links
Desined & Hosted by
Tynex Computer