NEW PATIENTS
For your convenience, prior to visiting our office please click below to print the new patient health history forms, complete the information and bring with you to your first visit.
Sacramento Office
Page 1
New Patient Health History (front)
Click Here
Page 2
New Patient Health History (back)
Click Here
NOW OPEN !
Dr. Staveris is pleased to announce the
opening of a second location in Sacramento.
3433 Arden Way
Sacramento, CA 95825
(Arden Way & Watt Ave.)
For more information or to schedule an appointment:
phone: (916) 482-0288
e-mail: jeanie@kiddentists.com
Page 3
Cancellation Policy
Page 4
Hipaa Privacy Policy Signature Form
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