We offer patient forms to help your dental appointment at RK Dentistry go smoothly. Our dentist will want your full oral medical history at hand so he can know how to treat you best. Call 925-736-4201 if you have any questions regarding the patient forms for your dental care in Danville, California, or your upcoming appointment with Dr. Richard Koeltl.

Click here to complete your forms electronically.
Online Patient Portal/Forms

Printable Forms
Health History Form
Notice of Privacy Practices
Acknowledgement of Privacy Practices
Dental Records Release
Medical Information Release
Medical Release Form