New Patient Forms

Welcome to our practice.

As a convenience, we offer an easy way to prepare your new patient forms prior to your arrival. Click on the PDF link below, fill out the forms (single-sided, please) and bring them to your first appointment. Dr. Daniel Mashoof and the team at Eastside Smiles is looking forward to meeting you.






General Family Dentistry |  Holistic Dental Approach  |  Restorative Care  |  Mercury Free Fillings I Periodontal Disease I Root Canal Therapy

Full Mouth Reconstruction I Amalgam Removal Protocol I Porcelain Crowns I Porcelain Veneers I Implant Therapy I Orthodontic Therapy

Nitrous Oxide  | TMJ Therapy I  Invisalign  |  ZOOM Teeth Whitening  |  Fluoride Alternative Care I Low Radiation – All Digital X-rays

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