More Convenient Patient Forms
Please print and fill out the following forms to bring with you to your appointment.
- New Patient Form
- Dental History
- Medical History
- Notice of Privacy Practices
- Information Reference
- Office Cancellation policy
After you’ve filled out the forms, schedule a consultation with Dr. Kania by calling her periodontal office in Encinitas/San Diego, CA, at (760) 642-0711.