To complete your forms online, click the button below to register using our online patient portal:
Patient Information Forms
Medical History Patient Responsibility Form HIPPA Form
Instructions after Periodontal Surgery
Instructions after Sinus Lift Procedure
Instructions after Dental Implant Surgery
Instructions after Surgical Extraction
Instructions after Biopsy
Instructions before IV Conscious Sedation
Instructions after Gingival Augmentation Procedure (Gum Grafting)
Instructions after Crown Lengthening Procedure
Patient Information Forms (Spanish)
Historial Medico en Espanol Responsabilidad Financiera del Paciente HIPPA en Espanol
Instrucciones despues de Cirujia Periodontal
Instrucciones despues de un Injerto de Encias (Gum Grafting)
Dr. Grajales is a meticulous and thorough doctor who cares deeply about his patients. The grafts he did for me were amazing!
House Dental
I have just had my first appointment with Dr Grajales. I was immediately put at ease. I had all my questions answered. I had everything explained in lay terms with no hint of talking down to me. I am not excited I need to have two extractions and a bone graft, but I am confident my choice of Dr Grajales will make the experience a positive one.
Elizabeth H.
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