New Patient Forms


New Patient Special

special dental offers san jose, ca

Schedule a new patient comprehensive exam, which includes a thorough dental exam, panoramic x-ray images, a professional teeth cleaning, and consultation with the dentist for only $89! A $350 value!


Includes cleaning, exam, x-rays, and consultation with the dentist. Regular value: $350.

Save Time Before You Arrive

Do you dislike spending twenty minutes filling out paperwork when all you want is to see the dentist? Our new patient forms are available online below so you can fill them out in the convenience of your own home!

New Patient Health History Form
Child Information Form
Financial Responsibility Form

Welcome To The Santa Teresa Dental Center Family

Give us a call to schedule your appointment today. Se habla EspaƱol.

Contact Santa Teresa Dental Center

    New Patient?

    Office Hours

    8:00am - 5:00pm
    9:00am - 6:00pm
    8:00am - 5:00pm
    8:00am - 5:00pm
    By Appointment
    8:30 - 2:30
    Open every other Saturday