Patient Forms

It does not matter why you are coming in to see us at Adept Dental Shafter. Whether you need cosmetic or restorative work, something as simple as a cleaning, or a treatment a bit more involved like a dental implant, you want to get the most out of your time here.

We have provided access to our new patient forms below. If you prefer, you can download your forms, fill them out in the privacy of your own home and bring them with you on the day of your appointment.

You also have the option of submitting your forms to our dentist and team online. This can be done safely and securely by following the link below. If you need assistance or would like to schedule your dental appointment in Shafter, California, call our office today at 661-746-6989. A member of our team can schedule you for your appointment with Dr. Olivia Park.

Please complete the ADA®​ Patient Screening Form prior to each visit to our office.

Medical History Form
New Patient Registration
Cancellation and No Show Policy
Patient Acknowledgement of Financial Policies
Online Patient Form
Online ADA Patient Screening Form