New or Updated Patient Information
As a new patient of our practice or a current patient needing to update your information (change in Address or Insurance), we welcome you to fill out our secure, online Patient Information Form below.
If you would prefer to print the paperwork instead to bring with you to your appointment, a downloadable version is available as well.
Welcome to Drs. Chin and Pharar Dentistry!
Whether you are a new or loyal patient of Drs. Chin and Pharar, we want to make your appointment experience as smooth and satisfactory as possible. This means we provide you with two options to submit your patient information to us: fill our your new or existing patient information electronically prior to your visit, or download and print your patient paperwork to bring with you to your appointment. As a HIPAA compliant practice, we take extreme precaution in ensuring that all of your information is securely transmitted and added to our systems. If you have any questions about the information we are requesting, or the security of the transmission process, please do not hesitate to call our office at 702-445-7075.