Patient Resources
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:
- Your health needs
- Desires for appearance enhancement
- How we can best care for your body, mind, and spirit
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.
Patient Forms
Please download the PDF to fill out your form or click the link below to access the online forms for your convenience.
Prosthodontic
Referal Form
Medical Clearance Form
Release of Records
Dental History
Please complete the dental health history form. The information you provide informs Dr. Najafi and Dr. Jayne to properly approach your dental care.
Medical History
Please complete the medical health history form. The information you provide informs Dr. Najafi and Dr. Jayne to properly approach your dental care.
Patient Registration
We honor your right to privacy. This form explains how we handle HIPAA and Protected Health Information records in our dental practice.
Financial Policy
HIPAA Acknowledgement
Use the buttons below to download the forms. the forms below are for Acknowledgement of Privacy Practices and Notice of Privacy Practices.