New patient forms

We’re Looking For Great New Patients Like You!

New patient forms

To help us give you the best new patient visit possible and maximize your time with Dr. Okamura, we ask that you please fill out the first four forms online, save as a PDF file and email them to us at smile@kimokamuradds.com prior to your visit. Print out the last two pages, sign them and bring them in with you to your scheduled visit. We look forward to meeting you!

If you are receiving therapeutic Botox treatment for TMJ pain or other chronic pain, please fill out this additional form: