Specials : https://www.smileydoctor.com/smiledoctor_dental_clinic_opening
Directions
2225 Buchanan Rd #A Antioch, CA 94509
Web Forms – Paperless
-
Patient insurance form
-
Medical history
-
Dental treatment consent
-
HIPAA information
-
Financial policy agreement
-
HIPAA acknowledgment
-
Covid 19 Patient screening (Please use doctor email:dentalantioch@gmail.com
Appointment:
Please take the appointment by calling 925-727-3141
OR
Click here: Appointment at Smileydoctor Dental Clinic
You can pay using any below:
- Zelle: smileydoctor@gmail.com / 650-965-2929
- Venmo: smileydoctor
- Paypal : https://paypal.me/smileydoctor
Paper Forms (Only used when the patient is in the clinic):
-
Smiley Doctor – Dental Health History Form
-
Smiley Doctor – Dental Medical Evaluation Form
-
Smiley Doctor – Transfer of Records Form