Patient History Form

Please help us be prepared for your first appointment by completing this Patient Information and Medical Health History from. 

You have the option of downloading our forms (PDF Format) to your computer. Please print out, complete the form and bring it with you to your first visit with us. You can also fill the forms out online and they will automatically be submitted to our office.

Below are the forms you will need to complete your paperwork via online or download:

Patient Information and Health History Form (PDF) (Download or Print)

Online Registration (Submit Directly to Office)

If you're unable to read PDF files, you can download Acrobat Reader free from Adobe.















© 2007 Randall E. Hoff, DDS, MS - All Rights Reserved

1895 Orange Tree Lane     |     Suite 203     |     Redlands, CA 92374     |     Call (909) 307-5353