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Patient Forms, Map and Directions to Lancaster Office

Your first visit to Golden Dental involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed doctor, staff and our inital visit procedures. You can also save some time by completing your registration online or printing out and completing the forms in advance of your appointment. All patients must present a valid picture identification card and insurance card if you have one.

Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

In order to save time at your first visit, please print your registration forms below, fill them out at your conveniance and bring them with you for your appointment along with an ID and insurance card if you have one:

Patient Forms

Welcome Form
Medical History Form

Formularios en Espanol

Formulario de Registro
Formulario de Historial Medico

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.



Driving Directions

We are located near the Northeast intersection of East Avenue J and Challenger Way. We are located between Domino's Pizza and American Tire Depot. Parking is available at the rear of the building.

Dentist - Lancaster
1011 East Avenue J


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