Patient Forms

Due to COVID-19 we are requiring ALL PATIENTS to download and fill-up the COVID-19 FORMS, before your appointment and email the PRE-SCREENING FORM to info@kingslydentistry.com. Thank you and please call our office @ 909-799-7777, if you have any questions.

Patient Forms (Print & Complete All Forms Prior To First Office Visit) 

ORAL CANCER SCREENING FORM.doc

Pre-appointment instructions

Pre-appointment screening form   

 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.