Patient FormS

We’ll need the information on the form before getting started. Please download and complete the form below and bring it to your first visit. If you cannot complete the form prior to your first visit, please arrive 30 minutes before your scheduled appointment.

The form is a PDF and require you have Adobe Reader to open. (Nearly all computers have this. If you cannot open the form, you can download it here)

HEALTH HISTORY

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PATIENT INFORMATION

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PRIVACY POLICY

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Dr. David Salmassy, DMD

OFFICE LOCATION
3113 Professional Dr #4
Auburn, CA 95603
OFFICE HOURS
Monday: 8:00 a.m. to 5:00 p.m.
Tuesday: 8:00 a.m. to 5:00 p.m.
Wednesday: 8:00 a.m. to 5:00 p.m.
Thursday: 8:00 a.m. to 5:00 p.m.
Friday: 8:00 a.m. to 3:00 p.m.
Saturday: Closed
Sunday: Closed
Schedule Your Appointment ›
Call Dental Implant Hotline: 916-237-8748 
Existing & New Patients: 530-823-5468
530-823-5468
[email protected]
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