Patient Forms

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Our Doctor and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment along with your insurance card so we may better assist you in a timely manner. Additionally if you would like to have recent records sent over to us, please send an e-mail to info@ojaidental.com. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

New Patient Form

HIPAA Notice of Privacy Practices 

COVID SCREENING 

 

The sweetest staff on the planet! No pushing of procedures and the cleanings are super thorough.
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Karla M.
The best cleaning! Made me realize what I have been missing at my past dentists. Great care and attention to detail. Spacious and relaxing office. On time and full of new technology. Dr. Komura was super patient in explaining all my issues and treatment options. Excited to have great care for my teeth.
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Erika E.
Going to Restore Dental Group is a delightful pleasant and easy process. I'm always happy to have my teeth cleaned by such caring and thorough hygienists all whom are excellent and take care in what they do!
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Gabrielle S.
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