Dentartistry Dental Practice
Maryellen DeBanff, DDS
Science of Dentistry + Art of a Perfect Smile

Patient Forms

Download Our New Patient Forms Before Your Visit

If you are a new patient to our office, the attached files contain our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

 

COVID Patient Disclosure

Patient Registration Form

Patient Registration Packet

Medical History

Financial Policy

Health Information Protection Act

Notice of Privacy Practices

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.

Testimonials

I've been coming here for years. Everyone is so nice and personal that you feel like family when you walk in. If they can't help then they will lead you to the best on who can. My 4 year old loves it as well.

Jacqueline Rice

Omg love them , they are so nice, they treat you like family. They always see your at your appointment time . They donated goodies to the TROOPS overseas, that's how great they are . Thank you for that , forever great full .

Bertha Dominguez

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Office Location

  • Yucaipa
  • 33694 Yucaipa Boulevard
  • Suite 3
  • Yucaipa, CA
  • 92399
  • Map & Directions
  • Call: 909.797.1077
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