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 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) 


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.

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Kingsly Dentistry
Lyngladen Silagan- Fernandez, DDS & Associates
Creating Beautiful Smiles

San Bernardino dentist, Dr. Lyngladen S. Fernandez is dedicated to general, restorative, and cosmetic dentistry with services including dental exams, dental makeovers, teeth whitening, veneers, crowns, x-rays, cleanings, and more. Please call our dentist in San Bernardino, CA to schedule your next appointment.

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