We respect your privacy and will never share any information obtained in our office or from this form without your express written consent. Information gathered from this form will only be used for scheduling purposes. Feedback from our current patients has led us to post our new patient forms online. If you wish, you may download any applicable forms and complete at the most convenient time for you. Then all you have to do is bring them with you to your appointment. All forms will be presented to you at the start of your appointment so don't worry if you do not fill them out or forget them at home.
Patient Information & Health History Form Esthetic Evaluation
(We encourage you to fill out the esthetic evaluation, or at least look at it prior to your cosmetic consultation. The questions are helpful, both for you as a prospective patient looking for esthetic treatment and for Dr. Bosler and his team in helping you to find the right cosmetic solution.)
"Our goal is to help every one of our patients have the smile of their dreams and to make it affordable.”
During your initial visit, Dr. Bosler and one of his highly trained assistants will review your goals and clinical needs and develop a comprehensive treatment outline. Prior to proceeding with treatment, you will be given a written copy of this proposal that outlines a treatment plan. In addition, we may also suggest alternative treatments for your consideration – plans that could save you money.
As a convenience for our patients we have a number payment options available as well as accepting Visa and Mastercard. These are convenient, no down payment plans, that offer a variety of different option for every budget. From extended plans with low monthly payments to low interest credit card type plans to interest free options ranging from months to a year.
Offering these plans allows us to make the smile you've always wanted more affordable. Click on the links below to find out more about these programs and if you desire apply securely online. In addition, we are always available to assist you in any way we can so please don't hesitate to ask.
Dr. Bruce Bosler - Vacaville Dentist - Bosler Cosmetic & Family Dentistry301 Alamo Dr., Ste A-2, Vacaville, CA 95688 - 707-449-3661