Dental Implant Hotline

916-966-5269

Dental Patient Forms

We’ll need the information on the forms below prior to getting started. Please download that form, complete it and bring it to your first visit. If you are not able to complete it prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

Patient Information

Click To Download ›

Medical History

Click To Download ›

Dental History

Click To Download ›

Insurance Information

Click To Download ›

Carmichael Area
Dental Office

6660 Coyle Ave. #240
Carmichael, CA 95608

Office Phone

Current Patients and General Office Information:
(916) 966-5269

Social Media

Implant Hotline

New Dental Implant Patients:
916-966-5269

Office Hours

Monday: 8:00 am - 5:00 pm
Tuesday: 8:00 am - 5:00 pm
Wednesday: 8:00 am - 5:00 pm
Thursday: 8:00 am - 5:00 pm
Friday: 8:00 am - 5:00 pm
Saturday & Sunday: Closed
© 2021 Laurie T. Hanschu DDS. All Rights Reserved. Program by Microsite Health.
The information on this website is for general information purposes only. Nothing on this site should be taken as medical advice for any individual case or situation. This information is not intended to create, and receipt or viewing does not constitute, a doctor-patient relationship.
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