Patient Forms

Dr. Ali Alijanian offers our new patient registration forms, as well as COVID-19 screening forms, online for our patients. Our oral surgeon will ask for your new patient form during your consultation, as well as other necessary information, to help get you started on your oral health care in Walnut Creek, California! Call 925-934-7888 to schedule your consultation today!

Patient Forms

Online Patient Registration
COVID-19 Patient Screening Form

Pre-Op Care

Before General Anesthesia or IV Sedation

Post-Op Care

After Extractions
After Implant Placement
After General Anesthesia or IV Sedation
After All-On-4® Food Recommendations

Home Care Kits

3rds, Extractions & Pathologies Home Care Kit
All-On-4® Home Care Kit
Implant Home Care Kit