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Snug Dental
(408) 708-7315‬
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    • Michael Mellenthin, MD
    • Beverly Yamasaki, DDS
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  • Contact
  • For Parents
  • For Providers
  • Services
    • Pediatric Dentistry
    • Anesthesia
  • Meet
    • Michael Mellenthin, MD
    • Beverly Yamasaki, DDS
    • Our Team
  • About
    • First Visit
    • Forms
    • Reviews
    • Office Tour
    • Insurance
    • Financing
    • Infection Control
    • Technologies
      • Digital X-Rays
      • Intraoral Cameras
  • Contact

Forms

Home » About » Forms
FormsSnug Dental2025-09-27T00:44:08+00:00

New Patient Forms

Digital new patient downloads to help expedite your first visit.

Below you will find our downloadable new patient forms, which are available for you to print out and complete at your own convenience. Then, either fax them to us at (408) 608-2380 or bring them with you during your first visit or appointment to Snug Dental.

Downloads (English 🇺🇸)

Patient Registration (English)
Financial Policy (English)
Cancellation Policy (English)
Pre-Op Instructions (English)
Privacy Policy (English)
Privacy Policy Acknowledgement (English)
Non-Discrimination Notice (English)
Materials Fact Sheet (English)
Materials Fact Sheet Acknowledgement (English)

Downloads (Spanish 🇲🇽)

Patient Registration (Spanish)
Financial Policy (Spanish)
Cancellation Policy (Spanish)
Pre-Op Instructions (Spanish)
Privacy Policy (Spanish)
Privacy Policy Acknowledgement (Spanish)
Non-Discrimination Notice (Spanish)
Materials Fact Sheet (Spanish)
Materials Fact Sheet Acknowledgement (Spanish)

Snug Dental

750 N Capitol Ave #C7
San Jose, CA, 95133
(408) 708-7315
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How to Find Snug Dental
Snug Dental

Where smiles begin with safety and comfort.

We are a leading children’s dental anesthesiology practice committed to elevating dental experiences for young patients. Whether a child has special needs, requires a lengthier treatment, or simply can’t sit still for regular appointments, our treatment team brings expertise and compassion to ensure every child’s journey to a healthy smile is positive and stress-free.

So if you’re a referring dentist or the parent of a child who could benefit from dental anesthesia, don’t hesitate to contact our practice. Join us in redefining dental care for children by eliminating barriers to treatment and help build a foundation for a lifetime of positive oral health habits!

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