Patient Forms - Patrick Yoshikane Dentistry
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Patient Forms

Welcome to Patrick Yoshikane, DDS–we’re excited that you are our newest patient! Please download and fill out your initial forms. This will allow you to be ready for your first appointment when you arrive at our office.


Please be sure to call our office if you have any questions at all while you are filling out these forms.

Click the link or PDF icon below to get started filling out your forms.

Click here to download and fill out the new patient forms.

Before You Leave…
If you’d like to receive a Free examination within the next 30 days, please complete and submit the form below. We’ll also send you occasional hello’s to share helpful articles and special offers!
Check all that might apply:
General Check-Up
Cavities/Root Canal
Cosmetic Dentistry
Gum Issues
Dental Implants
Sedation Dentistry
*This offer is limited to new patients.