Patient Forms

Please use the following links to download forms. These forms will not be sent electronically to Dr Jinsoo Kim. Please print forms, fill them out using a black or blue pen, sign the document and bring it with you on the day of treatment.

• Pediatric Health History Form
• Adult Health History Form
• Informed Consent
• Pre-Anesthesia Instructions

Dental Office Forms

Please use the following links to download forms.

• Statement of Service
• Financial Agreement For IV Moderate Sedation
• Financial Agreement for Deep Sedation/General Anesthesia
• Pre-Anesthetic Evaluation