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Patient Forms

Printable Forms

Please use the links below to download our New Patient Forms. Fill them in, and bring to the office.


adobeThese forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.

Online Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the “Submit” button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Thomas G. Peters, D.D.S., M.S.

  • Thomas G. Peters, D.D.S., M.S. - 14505 S. Bascom Ave., Los Gatos, CA 95032 Phone: 408-356-4144 Fax: 408-356-2679

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