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Patient Resources

 

Serving the Peninsula's Children for Over 30 Years

Hours

Monday –Friday

8:30 AM-5:00 PM

Select Saturdays

8:30 AM– 4:30 PM

 

Brush and Floss for a Happy Smile

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Patient Resources


American Academy of Pediatric Dentistry
211 East Chicago Ave, Ste 1700
Chicago, IL 60611-2663
(312) 337-2169

California Society of Pediatric Dentistry
P. O. Box 221608
Carmel, CA 93922
(831) 625-2773

American Board of Pediatric Dentistry
325 East Washington St, Ste 208
Iowa City, IA 52240-3959
(800) 410-1250

American Association of Orthodontists
401 North Lindbergh Blvd
St. Louis, MO 63141-7816
(800) STRAIGHT

American Academy of Pediatrics
141 Northwest Point Blvd
Elk Grove Village, IL 60007-1098
(847) 434-4000

Pacific Coast Society of Orthodontists
401 North Lindbergh Blvd
St. Louis, MO 63141
(888) 242-3934

 


New Patient Registration Forms Please Read the Following Instructions:

Adobe Acrobat Reader Required.

Click the Hyperlnk below and you will be forwarded to the forms directory.

New Patient Forms Directory

Once in the Directory:

Click on the File- "DrLeeHealthHX.pdf"

The form will open in browser.

There are 2 Ways to Fill Out This Form:

1. Manually:

Print Form and Fill Out By Hand.

or

2. By Computer:

Turn On Highlight Fields and Complete. Once Completed Print Form.

II. If Your Child Has Previously Seen a Dentist:

Please Foward Your Child's Dental Records to Our Office by Downloading and Filling out the New Patient Dental Records Release Form and Sending it to Your Child's Former Dentist.

Click the Hyperlnk below and you will be forwarded to the forms directory.

New Patient Forms Directory

Once in the Directory:

Click on the File- "DrLee_NewPt_RecRelease.pdf"

The form will open in browser.

Print Form and Fill Out By Hand.



 

Contact Us

Jonathon Everett Lee, D.D.S., Inc.

Brian D. Lee, D.D.S., M.S.D., Inc.

1291 East Hillsdale Blvd.

Suite 100

Foster City, CA 94404

Phone: 650-574-4447

Fax: 650-574-4041