Patient Forms

Be sure to fill out our patient forms if you are a new patient to Le Chabot Dental or have been referred. This will allow our implant specialist and dentists to take your specific needs into consideration for certain dental procedures. You can also go over them with Dr. Andy Le during your initial visit. Call 510-276-5533 for any questions about our patient forms or to inquire about our different dental services in San Leandro, California.

New Patient Registration Form