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Ontario Dental Center
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New Patients: Mobile Number (909) 414-3535
Existing Patients: Mobile Number (909) 984-0246
Ontario Dental Center
DirectionsOntario CA
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New Patient Form, CA
Home » New Patient Form

New Patient Form

To protect  the environment and  for your convenience, FORMS are available online

New Patient Forms

Patient  Registration form

Health History English

Health History Form Spanish

If you Prefer to print it and bring it with you, use PDF forms

New Patient Registration Form (PDF)
Health History Form English
Health History Form Spanish

SuccessStories

5

Great service the staff is awesome! They are very patient and caring for my children. Doctor Patel is great!!! Every visit is great experience.
Sonia M.
Sonia M.
Posted on Google Review
5

The staff is very nice...not to mention the doctor is real patient soft handed...i recommend this dental office to everyone.
Leticia V.
Leticia V.
Posted on Google Review
5

Dr. Patel and the staff at Ontario Dental Center are beyond awesome! I would recommend everyone to Ontario Dental Center.
Joe C.
Joe C.
Posted on Google Review
5

Everyone here is nice and friendly. Both me and my mom having been coming here for years now and we have no complaints!
Undead F.
Undead F.
Posted on Google Review
5

Ontario dental center is one of the best dentist office. Dr. Patel And Erica was very gentle and Professional service. I highly recommend
Jorge G.
Jorge G.
Posted on Google Review
5

I took my whole family here and was able to take care of check up quickly. Great Service.
Keyur A.
Keyur A.
Posted on Google Review
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Ontario Dental Center, CA
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Contact Details

Mobile Number (909) 414-3535 (New Patients)
Mobile Number (909) 984-0246 (Existing Patients)
Directions 974 North Mountain Avenue
Ontario, CA 91762

Office Hours

Monday: 10:00am - 07:00pm
Tuesday - Friday: 09:30am - 06:30pm
Saturday: 09:00am - 02:00pm

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  • Home
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  • Home
  • About
    • Welcome
    • Meet Dr Patel
    • Meet Our Team
    • Office Tour
    • Blog
  • Services
    • Cosmetic
      • Bonding
      • Porcelain Veneers
      • Inlays & Onlays
      • Teeth Whitening
      • CEREC Same Day Dental Crowns
      • Dental Bridges
      • Clear Braces
    • Restorative
      • Dental implants
      • Dentures
      • Non Surgical Root Canal
      • Rebase & Repairs
      • Soft Liners
    • General
      • General Dentistry
      • Child Dentistry
      • Tooth Extractions
      • Gum Disease Laser Therapy
      • Exams & Maintenance
      • Periodontal Maintenance
      • Oral Hygiene
      • Prophylaxis (Teeth Cleaning)
  • Patient Info
    • First Visit
    • New Patient Form
    • Payment Options
    • Insurance
    • Membership Plan
    • Financial Policy
    • Home Instructions
    • Infection Control
    • Dental Dictionary
    • Dental Specialties
    • Sunbit Financing
  • Smile Gallery
  • Success Stories
  • Contact Us
  • Book Now
  • Site Map
  • Patient Safety – Covid-19 Update
  • Accessibility Statement
  • Cookie Policy
  • Privacy Policy
  • No Surprises Act
  • Good Faith Estimate
  • Cosmetic
    • Bonding
    • Porcelain Veneers
    • Inlays & Onlays
    • Teeth Whitening
    • CEREC Same Day Dental Crowns
    • Dental Bridges
    • Clear Braces
  • Restorative
    • Dental implants
    • Dentures
    • Non Surgical Root Canal
    • Rebase & Repairs
    • Soft Liners
  • General
    • General Dentistry
    • Child Dentistry
    • Tooth Extractions
    • Gum Disease Laser Therapy
    • Exams & Maintenance
    • Periodontal Maintenance
    • Oral Hygiene
    • Prophylaxis (Teeth Cleaning)
  • New Patients:
  • Existing Patients: