Patient Forms

To help you have a more relaxing and convenient experience as you visit us for your appointment, we invite you to fill out our patient forms here! If you would like to learn more about our dental practice in Riverside, California, please feel free to contact us today at 951-786-9141 and set up an appointment with our dentists at University Village Dentistry. You can ask to meet with Dr. Amy Hao!

New Patient Form (Adult)
New Patient Form (Child)