Please feel free to print these forms and bring them to your appointment. It is also possible to email them to us at: firstname.lastname@example.org or they can be faxed to 925-937-6352. Thank you and we look forward to meeting you in person.
New Patient Forms:
Medical History Exam.pdf
HIPAA Notice of Privacy Practices.pdf
Post Op Instructions for Soft Tissue Grafts.pdf
Post Op Instructions for Osseous Surgery & Implants.pdf
Connective Tissue-Free Gingival Grafting Using Allograft Tissue.pdf
Connective Tissue-Free Gingival Grafting Using Autogenous Tissues.pdf
Consent for Extraction of Teeth.pdf
Consent to Periodontal Surgery.pdf
Informed Consent for Crown Lengthening Surgery.pdf
Just wanted to say thank you to Dr. Lacrampe and all the office staff for taking care of me. Five years ago I had gum grafting over three of my teeth. Last month I came in for my yearly checkup and Dr. Lacrampe said the procedure was a great success, and there is 100 percent coverage over the teeth involved. I want to thank the doctor and all the staff for their consistent compassion and caring they offered over these years. I feel so fortunate to have such exceptional people in my life experience.
Dr. Lacrampe and his team were excellent throughout my procedure. I appreciate the openness and frankness regarding my procedure. The procedure itself went better than expected and my recovery was quick. They made sure any pain I incurred was mitigated to the best of their abilities. Overall, Dr. Lacrampe and his team create a comfortable environment and I am happy to have had my work done with them.
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