Patient Registration
Rosalyn Burke, DDS
- Registration Form
- Patient Communication Consent
- Notice of Privacy Practices
- Acknowledgement of Receipt of Notice of Privacy Practices
You may bring all these forms with you to your reserved appointment. Any information needed ahead of time will be requested by our scheduling coordinator. We look forward to meeting you soon!
Have questions? Call us! 925-448-3770
You may also e-mail us at [email protected], but we request you review our patient communication consent forms prior to doing so to ensure an understanding of electronic communications and the risks it may involve. Thank you!