Specials : https://www.smileydoctor.com/smiledoctor_dental_clinic_opening

Directions

2225 Buchanan Rd #A Antioch, CA 94509

Web Forms   – Paperless 

1. Patient insurance form

2. Medical history

3. Dental treatment consent 

4. HIPAA information  

5. Financial policy agreement   

6. HIPAA acknowledgment    

7. Covid 19 Patient screening (Please use doctor email:dentalantioch@gmail.com

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Appointment:

Please take the appointment by calling 925-727-3141

OR

Click here:  Appointment at Smileydoctor Dental Clinic 

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You can pay using any below:

• Zelle: smileydoctor@gmail.com / 650-965-2929
• Venmo:  smileydoctor
• Paypal : https://paypal.me/smileydoctor

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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