healthier smiles for healthier lives
New Patients Welcome
Thank you for choosing Dr. Siamak Najafi, Dr. Don Jayne, and our team of established dental care experts, as your partners for excellent health and continued well-being.
Every visit to our office begins with a conversation about you. We want to know about:
Open communication is welcome in our office. If there is anything we can do to make dental visits more comfortable please share your thoughts with us.
Making Dental Health Easier
As experts in dentistry, we’re here to help you stay healthier, longer.
Our experts offer tips to improve your dental health during office visits and through care at home.
After all, your teeth should last a lifetime.
Please download the PDF to fill out your form or click the link below to access the online forms for your convenience.
Medical Clearance Form
Release of Records
Please complete the dental health history form. The information you provide informs Dr. Najafi and Dr. Jayne to properly approach your dental care.
Please complete the medical health history form. The information you provide informs Dr. Najafi and Dr. Jayne to properly approach your dental care.
We honor your right to privacy. This form explains how we handle HIPAA and Protected Health Information records in our dental practice.
Use the buttons below to download the forms. the forms below are for Acknowledgement of Privacy Practices and Notice of Privacy Practices.