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909-240-1784
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Patient Forms


Practice Forms

  • Patient Registration Form

Treatment-Specific Forms

Obstructive Sleep Apnea (OSA) Patient Forms
Temporomandibular Join Disorder (TMD) Patient Forms

Obstructive Sleep Apnea (OSA) Patient Forms

  • OSA Consent For Treatment Form (PDF)
  • OSA Medical History Form (PDF)
  • Questionnaire For Sleep Patients (PDF)
  • Proof Of Delivery For OSA Appliance Form (PDF)

Learn more about Obstructive Sleep Apnea (OSA) and treatments.

Temporomandibular Join Disorder (TMD) Patient Forms

  • TMD Treatment Consent Form (PDF)
  • TMD Medical History Form (PDF)
  • TMD Symptom Questionnaire Form (PDF)
  • Proof Of Delivery TMD Oral Appliance Form (PDF)

Learn more about Temporomandibular Join Disorder (TMD) and treatments.


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Dentistry by Dr. Doshi

Diamond Bar Office

3209 South Brea Canyon Road Suite F
Diamond Bar, CA 91765
Tel: Diamond Bar Office Phone Number 909-240-1784 Fax: 909-804-6500
Diamond Bar Dentists, Dr. Sanjay Doshi, Dr. Tammam Sheabar and Dr. Adrien Hamedi, are dedicated to providing you with a pleasant visit and results that you're proud to show off. Call Diamond Bar Office Phone Number 909-240-1784 with any questions or to make an appointment.

Diamond Bar Dentist

Proudly serving Diamond Bar, CA and the neighboring Los Angeles communities including:
  • Los Angeles County
  • Orange County
  • Riverside County
  • San Bernardino County
  • Brea CA
  • Chino Hills CA
  • East San Gabriel Valley CA
  • Pomona CA
  • Rowland Heights CA
  • Sleepy Hollow CA
  • South San Jose Hills CA
  • Walnut CA

Cosmetic Dentistry Treatments

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  • Dentures
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