DeAnza Family Dentistry
Craig Mitchell, DDS and Rudy Dittrich, DDS
Cupertino Family and Cosmetic Dentistry

Patient Forms

For your convenience, we ask that you please print out these dental forms and fill them out before coming to the office.  You may email them back to us or bring them along to your next dental appointment. 

New Patient Forms

 

HIPAA Policy

 

 

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Testimonials

My family has been going to Dr. Mitchell for 20 years. I can't say enough positive things about him and his staff! He is gentle and kind. My daughter had implants and Dr. Mitchell crafted perfect 'teeth' to attach to the implants.

June - verified patient review

I have been seeing Dr. Dittrich for all my dental needs over the past 20 years. In my opinion, what sets him apart is his extreme attention to details while not pushing dentistry to patients. His work has been flawless and he spends the time to explain procedures to patients and listen to their needs.

Amir - verified patient review

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