Thank you for choosing Dr. Haeri D.M.D, M.H.S,

Periodontist & Dental Implant Specialist.

Here you will find the forms you need for your first visit.

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Haeri 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 so we may better assist you in a timely manner.

• Medical history form
• Notice of privacy  
• Notice of Privacy signature form