PATIENT FORMS

To make it easier for our patients, we have made all the patient forms available online which can be downloaded and filled in before visiting our practice. When you reach our practice, one of our team members will assist you with all the requirements such as form submission, Insurance claim, or cashless treatment, etc.

Access our Forms Online

Online Forms

Health History Form

Download

HIPAA & Privacy Practice Form

Download

Insurance Claim Form

Download

Address:

231 Main Street, Ben Lomond, CA 95005

Email:

info@creechdental.com

Telephone:

(831) 336 2261

Our Hours

Monday: Closed
Tuesday: 8:00 am – 6:00 pm
Wednesday: 8:00 am – 6:00 pm
Thursday: 8:00 am – 6:00 pm
Friday: 7:00 am – 4:00 pm
Saturday: Closed
Sunday: Closed

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