Patient Forms


If you are a new patient to our office, please visit our Patient Forms page to download our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please contact our office if you have any questions at all.

• Welcome Form

Health History Form

Parissa Djafari, DDS
6900 Brockton Ave., Suite #2
Riverside, CA 92506-3801
Phone: 951-291-0617
Fax: 951-682-9169
Office Hours

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