Welcome to MAK Dental
New Patient Forms
Save time at your first visit by completing your paperwork online before you arrive.
Before Your First Visit
We're so glad you've chosen MAK Dental for your oral health care. To help make your first appointment as smooth as possible, please complete the forms below prior to your visit. If you have any questions, don't hesitate to call our office at (707) 554-2600.
Patient Registration Form
Complete your personal and contact information so we can set up your patient account.
Medical History Form
Help us understand your health background so we can provide the safest, most effective care.
Dental History Form
Tell us about your previous dental experiences and any concerns you'd like to address.
Insurance Information
Provide your dental insurance details so we can verify your benefits before your visit.
Prefer paper forms? Arrive 15 minutes early to your appointment and our front desk team will assist you.
What to Expect at Your First Visit
Comprehensive Exam
Dr. Guirguis will perform a thorough examination of your teeth, gums, and overall oral health.
Digital X-Rays
We use modern digital X-rays to get a complete picture of your dental health with minimal radiation.
Treatment Planning
We'll discuss your dental goals and create a personalized treatment plan tailored to your needs.
Professional Cleaning
Our hygienist will perform a thorough cleaning to remove plaque and tartar buildup.
Insurance & Payment
MAK Dental accepts most PPO dental insurance plans. We also accept CareCredit, all major credit cards, ATM cards, cash, and personal checks. Our team will be happy to help you understand your benefits and payment options.
Ready to Schedule?
Have questions or ready to book your first appointment? Our friendly team is here to help.