Before your first appointment, we ask that you download and fill out the appropriate forms packet below.

General Dental Services Form
Biological Dental Services Form

Once you’ve completed the forms, please send them to us:

Post: PO Box 128, Escalon, CA 95320
Fax: 209-838-2460

Questions or concerns? Contact us.

Copyright ©. Gary M. Verigin, D.D.S., inc. All Rights Reserved. California State Licensed General Dentist.
Disclaimer: We make no claim of providing superior services, nor do we guarantee any specific outcomes from the services we provide.