Patient Registration

For patients scheduled with Dr. Robert Goldberger please CLICK HERE to download and print the health history form.  We ask that you complete and bring it with you on your next appointment.  

For patients scheduled with Dr. Stanley Michel or Dr. Michele Nguyen please CLICK HERE to download and print the health history form. We ask that you complete and bring it with you on your next appointment.

At Endodontic Associates the privacy of our patients is of the utmost importance. Please CLICK  HERE  to download and print the HIPAA compliance form. Kindly sign, date and return it with the health history form on your next appointment.