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Shandra Shin, DMD
Family & Cosmetic Dentistry
877 W. Fremont Avenue, Suite K-1, Sunnyvale, CA 94087
Tel 408.743.5055 • Fax 408.743.5053
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Online Forms

Patient Registration

Please download and fill-out our Patient Registration Form. After you have completed the form, please make sure to bring it on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

  • Download Our Patient Registration Form

Financial Policy

Please download and sign our financial policy. Please be sure to bring it on your first visit to our office.

  • Click here for our complete office financial policy

Privacy Policy

Please download and sign the Acknowledgement of Receipt of Notice of Privacy Practices. Please be sure to bring it on your first visit to our office.

  • Click here to read the notice.
  • Click here for Acknowledgement of Receipt of Notice of Privacy Practices

Technical Note:

You need Adobe Acrobat Reader to view our forms. Please download the free Acrobat Reader from Adobe's web site if it is not already installed on your system.

 

Sandra Shin, DMD  |  Family & Cosmetic Dentistry  |  877 W. Fremont Avenue, Suite K-1, Sunnyvale, CA 94087  |  Tel 408.743.5055  |  Fax 408.743.5053

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