New Patient Registration Forms

 

We attempt to see you at your appointed time as much as possible, since we believe your time is as valuable as ours.  If you would like to save some time, download our New Patient Registration form for adult patients and for child patients.  Please fill it out, preferably with your keyboard our mouse, and bring it with you to your first appointment.

 

To print our patient registration forms, please click on the link above. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.

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3232 West Florida Avenue, Hemet, CA 92545 Phone: 951-652-4464 Fax: 951-929-7090
Doctor@KirkPetersen.DMD.com
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Dr. Petersen is a general and cosmetic dentist and he welcomes new patients from all over including Hemet, San Jacinto, Homeland, Romoland, and Winchester. He provides dental services such as sedation dentistry, Invisalign, porcelain veneers, dental implants, cosmetic bonding, porcelain fillings, porcelain bridges, Lumineers, and ViziLite Plus.