Patient Resources

Patient Forms

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

Use this form to tell us about any changes to your medical history.

New Patient Form

Complete this form online and share with the clinic before your appointment.

Offline New Patient Form

Download this Form to complete by hand and hand in to our clinic.

Booking Appointments with Claremont Smile Design

A 4-Step Process

01

Contact Us

The first step in booking your appointment with Claremont Smile Design is to get in touch with our friendly team.

02

Consultation & Scheduling

Once you've made contact, our team will be delighted to assist you in scheduling your appointment.

03

Prepare for Your Visit

Before your scheduled appointment, please complete the New Patient Forms.

04

Attend Your Appointment

On the day of your appointment, all that's left to do is arrive at Claremont Smile Design.

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ABOUT PRACTICE

Dental Offices in Claremont

To schedule your appointment

Use the form beside to provide us with the information, and our coordinator will contact you for convenient appointment times.

Office Hours

(Please call our office for details and to schedule your appointment.)