Amybeth Harmon, DDS
Diplomate, American Board of Pediatric Dentistry
Diplomate, American Board of Pediatric Dentistry
Patient Forms
Online Dental Care Patient Forms
Please download and print new patient forms. We request you complete the Health History form in advance and bring it with you the day of your child's first visit. Thank you.
Note:Forms require Adobe Reader. You may download a free copy by CLICKING HERE
Patient Health History Form (80 kb pdf)
Credit Policy (239 kb pdf)
New Parent Letter (576 kb pdf)
Testimonials
While on the way to Pediatric Dentistry of Pleasant Hill with my seven-year-old grandson, I hear his excited voice from the back seat "Grandma, I can't wait to see the dentist!" When was the last time you heard a comment like that!
He was one year old when he had his first visit. This is a caring practice. Not only from the standpoint of the child but for the concerns of the parent...
He was one year old when he had his first visit. This is a caring practice. Not only from the standpoint of the child but for the concerns of the parent...
- Rita M.
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