Now accepting Telehealth appointments. Schedule a virtual visit.

Patient Forms


 



BEFORE YOUR APPOINTMENT, PRE-REGISTER TODAY


STEP 1


Click Here to pre-register yourself before coming into our office through our online Questionnaire Form.



STEP 2


Familiarize yourself with the following forms before coming in.  These are our general visit forms that you will be asked to e-Sign when you come in for your appointment.


COVID-19 Risk Acknowledgement Consent

HIPAA Notice of Privacy Practices

Office Policy

Signature on File

Dental Materials Fact Sheet



STEP 3


We will see you in our office on the day of your appointment and go over the questionnaire from STEP 1 and have you sign all the documents from STEP 2 with e-sign.



Location
Rodney K. Park DDS
6146 Camino Verde Drive, Suite O
San Jose, CA 95119
Phone: 408-224-7878
Fax: 408-224-3067
Office Hours

Get in touch

408-224-7878