Patient Forms
Your visit to our office will introduce you to Dr. Abe and our caring staff. We will assess your periodontal needs and tell you how we can help you. We encourage questions and strive to deliver the highest quality of care.
Please take a moment prior to your scheduled appointment to download our New Patient form or enter it directly on our website by logging in at the bottom of this page. If you want to fill out a paper form you download and print at home, we ask that you complete the form and bring it with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.
**IF YOU WOULD LIKE TO FILL OUT OR UPDATE YOUR PATIENT FORMS ONLINE OR GAIN ACCESS TO YOUR RECORDS:
Please:
1) Register first, if you have not done so, create a login name and password. Click on "... scroll down and click on the "SIGN UP" button to register.
2) Wait for one day for the registration to be processed
3) ... Then login and fill out forms in "EXISTING PATIENT LOGIN FORM FILING"
Fill out form, DON'T SIGN FORM ONLINE, YOU WILL SIGN THE FORM AT OUR OFFICE WHEN YOU ARRIVE.
REMEMBER TO GO TO BOTTOM OF FORM AND CLICK ON "SUBMIT" BEFORE EXITING TO
RECORD FORM
NEW PATIENT SIGN UP
Patient Forms
EXISTING PATIENT LOGIN FORM FILING
4) Access your records if you have already registered by clicking "NEW PATIENT SIGN UP."
Patient Forms to download and e-mail to "drabe@microimplantdr.com" or bring in personally
( click on the form you would like to download and print below):
This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
Kenneth Abe, DDS
843 Altos Oaks Drive, Suite 1
Los Altos, CA
650.941.2168
Click here to Schedule An Appointment Today!