Patient Forms
Patient Forms
At Phantastic Smiles, the smile you’ve always wanted is our top priority!
To make sure you are ready to go when you step through our doors, print off and fill out your forms before you come in! This will expedite the registration process for new patients, bringing you closer to the smile you’ve always dreamt of!
Patient Registration Consent for Treatment Oral Abnormalities Screening Form Additional Consent FormRequest Additional Information
Please use this form for general information purposes only.DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.
See What Our Patients Are Smiling About
“I am so happy with my new and improved smile. I can’t thank Dr. Phan and his team enough for taking such great care of me. I have had a fear of dentistry my entire life. Dr. Phan has helped me get over that fear by taking his time and making sure I was okay every step of the way. I am so happy to have found one Dentist that can treat my general and cosmetic needs all in one office.”
Irasema Heredia
“I know it sounds odd to say you look forward to going to the dentist, but I enjoy my visits to see Dr. Phan! Dr. Phan is always up to date on the latest dental techniques and his equipment is state of the art. He and his staff really care for their patients and make sure they are well cared for and comfortable during their procedures. His office is a happy place full of smiles – no pun intended. I never hesitate to recommend him and do so at every opportunity! He and his staff are truly the best!”
Lori Gosselin
“I have been coming to Phantastic Smiles for maybe around 20 years. 16 years ago, I got a composite job done on my front tooth after I chipped half of it off as a child. This was supposed to be a temporary replacement, but has lasted 16 years so far and holding up well!”
Paolo Tursi
“Dr. Phan and his entire team are wonderful! The office is clean and technologically advanced. They really focus on providing comprehensive care and pay special attention to all the small details. I was given a customized treatment plan, and they were transparent about what items needed to be prioritized first. My visits have been pleasant and efficient. I recommend Phantastic Smiles to anyone seeking superb oral care.”
Regina Tran
“I had a tooth break and didn’t have a local dentist. The moment I called, Kathy put me at ease and helped me get seen right away. Everyone was so kind and knowledgeable. I will definitely be back, and I’m delighted to now have a dentist in the area. Thank you to Kathy, Dana, and Dr. Phan!”
Kim S
“As always, extremely professional and gentle! Friendly office staff, and Dr. Phan truly cares about the health and comfort of his patients. Best experience ever!”