New Patient Forms

Check IconNew Patient Forms (pdf)

Check IconDental Materials Fact Sheet (pdf)

Check IconPrivacy Practices (pdf)

Please fill out these forms before your appointment.
If you wish, you may email them to megan.frontoffice@gmail.com.

Thank you,

Jeffrey B. Routsong

Routsong Family Dentistry
5800 Stanford Ranch Rd
Rocklin, CA 95765
Office: 916-435-3060 Fax: 916-435-3003
Jeffreyroutsongdds@gmail.com