Patient Registration Forms

1.  General Consent Form English and Chinese Please download and print this form.  Instructions are provided on the form.
2.  New Patient Registration Form English and Chinese Please download and print this form.  Instructions are provided on the form.

 

Dental Patient Forms

1.  Dental Consent Form English Please download and print this form.  Instructions are provided on the form.
2.  Dental Consent Form Simplified Chinese Please download and print this form.  Instructions are provided on the form.
3. Dental Oral Surgery Consent Form Please download and print this form.  Instructions are provided on the form.
4. Dental Non-Surgical Endodontic Consent Form Please download and print this form.  Instructions are provided on the form.

 

Pediatrics Patient Forms

1.  SCCHC Pedi Vaccine Consent Form English Please download and use this form.  Instructions are provided on the form.
2.  SCCHC Pedi Vaccine Consent Form Simplified Chinese Please download and use this form.  Instructions are provided on the form.
3.  SCCHC Pedi Vaccine Consent Form Traditional Chinese Please download and use this form.  Instructions are provided on the form.