DIAGNOdent
Patient Forms

We welcome all patients to our office with a complete New Patient examination and a subsequent hygiene visit. These are scheduled for you at the time of your initial call to our office. After your initial contact with our office, please access the following secure link to electronically fill out the new patient forms. Upon finishing these forms, they will be downloaded to our office and be ready for you when you arrive for your first visit.

To complete New Patient Forms, please click here



Office
American Family Dentistry
1956 Indian Hill Boulevard
Pomona, California 91767
P: 909.621.5848
F: 909.621.5458
Advanced Treatments
:: Digital X-rays (less radiation)
:: Porcelain crowns & veneers
:: Smile make-overs
:: Cutting-edge technology
:: Tooth colored fillings
Account Access
Patients can now access their appointment and account information online.
Click here to login.