Call: (714) 992-0492

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Patient Forms

We want to welcome you to the practice of Richard K. Amo, DDS!

Welcome to our practice! We thank you for making us your choice in caring for your dental health. By becoming our patient, you have created a partnership which we hope will last through the years. Please print and fill out the below forms completely and bring them with you to your scheduled appointment along with any questions or concerns. As a courtesy we call two days prior to confirm your appointment.

Our partnership is prevention oriented and dedicated to your health. We are committed to providing superior dental care. Our goal is to help you feel and look your best while focusing on long term health.

We are located in the Val Mesa Medical Building located next to St. Jude Medical Center at 100 E. Valencia Mesa, Suite 307, Fullerton, CA. 92835. Parking is located in the back of the building. We offer complementary parking to our patients so be sure to bring your parking ticket to your appointment so that we can validate for you.

Our office hours are Mondays and Thursdays 9:00am to 6:00pm and Tuesdays and Wednesdays 8:00am to 5:00pm and one Saturday a month from 8:00am to 5:00pm. We are also available for emergency services.

We welcome new patients and appreciate any referrals we might earn. Our practice welcomes you and looks forward to a long and healthy partnership with you, your family and friends.

The forms below need to be printed and filled out completely and bring with you to your appointment. HIPAA and Dental Materials Facts Sheet form is for your information.

Click below to download New Patient Registration Materials