Health History Forms

New Patient Forms and Online Forms

Spring Hills Family Dentistry offers our patient forms online, so they can be completed it in the convenience of your own home or office. 

Follow these 3 steps:

  • If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.
  • Download the necessary form(s) below, print it out and fill in the required information.
  • Bring them with you to your appointment.

New Dental Patient Form - Required

This lets us know the history and current state of your dental health. 

Download & Print Adult History Form
Download & Print Adult History Pt. 2 Form
Download & Print Child History Form

Patient Financing Options at Spring Hills Family Dentistry

At Spring Hills Family Dentistry, we understand that the cost of even basic dental care may be prohibitive for some patients in Grand Terrace. 

However, we believe all patients should receive the dental treatment they need. We provide access to convenient financing and payment options

Reserve Your Appointment Today

Dental Care for the Whole Family

  • Convenient Hours
    (Evening & Weekend Appointments)
  • Patients of All Ages Welcome
    (We Love Kids!)
  • Friendly & Caring Female Dentist
  • TVs in Treatment Rooms
    (Plus Blankets & Hot Scented Towels)
  • Complimentary Refreshments
  • Multi-Lingual Office
    (English, Spanish and Thai)
  • Emergencies Seen Promptly
  • Most Insurance Accepted
    (Plus Flexible Payment Plans)

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Our Location

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Hours of Operation

Our Regular Schedule

Spring Hills Family Dentistry


8:30 AM-6:00 PM


8:30 AM-6:00 PM


9:00 AM- 7:00 PM


9:00 AM-7:00 PM


7:00 AM-4:30 PM


Call for availability.