New patient? Please download and fill out the following forms when you come in for your first appointment.
New Patient Registration Form
This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.
Patient Health Questionaire Form
This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.
Privacy Notice
Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy.
This form should also be brought to your first appointment.
New Patient Welcome Form
This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.
Informed Consent Form
This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.
Call us at:
(760) 951-4646
Victor Valley Endodontics
17260 Bear Valley Rd
Victorville, CA 92395
Fax:
(760) 951-4647
Email:
frontdesk
@victorvalleyendo.com
Use our contact form to get in touch.
Monday - Friday
8:30 AM - 5:30 PM
Closed
Saturday & Sunday
Outside our regular business hours, please note our emergency care information.
What is the best preventive care for your teeth? Find out how to make your next visit easier and more pleasant.