Gabriela Garcia-Rojas, D.D.S.
Call (415) 388-6100

New and Returning Patient Forms

Download Our Patient Forms Here 

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Garcia-Rojas and Dr. Cooper Differding and our caring staff. We encourage questions and do our best to always deliver quality care.

Please take a moment prior to your scheduled appointment to fill our patient forms. We ask that you complete the forms prior to your appointment so we may better assist you in a timely manner. Please read the Dental Material Fact Sheet and ask us if you have any questions about it. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs. 

If you are returning patient looking to update your medical and dental history you are in the right place! Please click the link below and complete all fields. We thank you for taking the time to help us ensure accurate and paperless records. 



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Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.