Patient Forms

We encourage our new patients to let us know more about them by pre-registering through our secure online forms.

Kindly complete all the listed forms and press the submit button once completed. As per our regulations and privacy policies, all data shared by the patient will be strictly secured in our database.


Please complete the forms below.  

Patient Registration Medical History Dental History Acknowledgement of Receipt of the Notice of Privacy Practices

Privacy Information - This document is available for you to download and keep for your records.

Notice of Privacy Practices

36 N. San Mateo Drive, Suite B
San Mateo, CA 94401

Olson Dental

36 N. San Mateo Drive, Suite B

Email: [email protected]

Mob: (650) 342-0474

MON - WED : 8:00 am - 5:00 pm

THU - FRI : 7:00 am - 3:30 pm

SAT - SUN : Closed