We would appreciate your printing and completing the Registration Forms and HIPAA Acknowledgement of Receipt of Privacy Practices Form and reviewing our Financial Policy, before your arrival in order to facilitate your appointment. Please remember to bring your completed forms with you to your appointment.

If you are unable to keep the appointment time we have reserved for you, we require at least 48 hours advanced notice. We look forward to getting to know you and to serving your needs.

Again, thank you for choosing Pacific Family Dental Center.

Sincerely,

Mayer Yashar, D.D.S., and Staff