David A. Sestero, D.D.S., Inc.
Cosmetic and Family Dentistry
PLEASE CLICK THE LINK ABOVE TO ACCESS THE NEW PATIENT FORMS and be able to fill them out online without having to print them out. New patient forms must be filled out and signed before coming in for your dental appointment.
Please call (707) 427-3172 or email dentalinquiries@yahoo.com to request a dental appointment before filling out the new patient forms.
After the online new patient forms are filled out and signed, they will be sent automatically to David A. Sestero, DDS, Inc. The online new patient forms can be filled out using a desktop computer or smartphone/mobile device.
Please bring your Dental Insurance Card that contains a dental insurance ID number with you on your dental visit if you have dental insurance. Our office is in-network for most Dental PPO plans. We are out-of-network for all Dental HMO plans and Delta Care. We look forward to meeting you.
New patient forms can be printed out if preferred. (by clicking the PDF file directly above) The printed out new patient forms need to be completely filled out & signed where applicable. Then scanned and emailed to dentalinquiries@yahoo.com or brought to the office on the day of your appointment. New patient forms must be filled out and signed before coming in for your dental appointment.
PLEASE CLICK THE LINK DIRECTLY ABOVE TO ACCESS THE AUTHORIZATION TO DISCLOSE HEALTH INFORMATION/XRAY RELEASE FORM and be able to fill it out online without having to print out the form. This online form can be filled out using a desktop computer or smartphone/mobile device.
This form can also be printed out if preferred. (by clicking the PDF file directly above) The printed out form needs to be completely filled out & signed where applicable. Then scanned and emailed to dentalinquiries@yahoo.com.