Evergreen Valley Dental Office

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Patient Screening and Consent Form
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Patient Information Form
Welcome

Dear Patient: 

We hope this letter finds you and your family in good health. Our community has been through a lot over the last few years following the COVID-19 pandemic, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.


Infection control has always been a top priority for our practice and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. 


Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up-to-date on any new rulings or guidance that may be issued. 

 

  
Everyone deserves a great smile!  Our friendly staff will provide you with positive and professional dental care.  We are dedicated to providing you and your family with the most technologically advanced dentistry available.
 
We wish to ensure that you are as comfortable as possible during your visit with us. Our flexible schedule allows you to make appointments that are convenient for you.
 
For your health and safety we are committed to maintaining the highest standards in sterilization and infection control.
 
Dr. Parikh is highly trained in the latest technologies in delivering comfortable and convenient dentistry to you.
 
Our state of the art facility includes Intra-oral 3-D scanner gentle, Ultrasonic scalers,  new instrument sterilization system , sterile water system that uses distilled room temperature water in all of operatories, Digital intra-oral X-ray sytem (which reduced overall radiation) , , Stereo headphones and sunglasses  will make your visit as comfortable as possible.
 
Interest free payment plans available (on approval of credit).  Most insurance plans accepted including Medi-Cal Dental.
 

Dr. Parikh is willing to discuss by phone, any concerns you might have before making your first appointment. 

 We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every

 patient, safe in our practice. 



To make an appointment, please call our office at 1(408) 528 - 8303 

 Thank you. We value your trust and loyalty for your oral health .

 Regards from,

 

Dr.  Shobha Parikh , Dr. Vishal Parikh and the Evergreen Valley Dental Team



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4868 San Felipe Rd., Suite#120, San Jose 95135 Phone#(408) 528-8303