Patient Forms

For your convenience we have provided an online registration form for you to fill out in the comfort of your home. Please bring the completed form with you to your first appointment.

Please Note:

Our online forms use the Adobe Acrobat 5 Plugin to allow patients the convenience of completing their health history and registration forms from home or work. Please download the free plugin from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plugin, in order to successfully use our forms.

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Designed for Steve M. Leighty, DDS, Oral and Maxillofacial Surgery of Grass Valley, CA