Would you like to get a head start on your first appointment with Dr. German Jaquez? We invite you to complete our new patient forms before your visit with our dentist in Claremont, California, in order to save some time at our office. If you need assistance or have any questions, please feel free to contact our team at Claremont Smile Design. Our team is glad to help.


Health History Form

New Patient Form


Downloadable PDF (Please download the form to your computer, print it and complete by hand.)