Below are downloadable forms for your convenience. In an effort to keep your visits timely and efficient, please fill out the new patient and financial forms prior to your appointment.
If you have any questions, please do not hesitate to phone us:
(650) 697-9497.
  New Patient Form
  New Child Patient Form
  Financial Policy Form
  Dr Ricci Chan, DMD, Pacific Dental Group 1720 Marco Polo Way, Burlingame, CA 94010 Make an appointment   (650) 697-9497