Patient Information

New Patient Information

Girl after she completed new patient information formsAre you new to Inspire Smiles Dental? Below, we offer valuable new patient information for our new patients that answers frequently asked questions and saves you time in the waiting room.

Let us inspire you to achieve your smile goals.

Make an Appointment

To set up and appointment with Dr. Rassiwala please call us by phone at (925) 833-9500 or simply fill out an online appointment request.

New Patient Forms

Why waste time in the waiting room filling out forms? Download, print, and fill out all patient information paperwork at your convenience by clicking the links below. Save the PDF files to your computer, then print them out at home.

When you visit us, bring the completed forms with you. We will promptly register you, so you can get on to your appointment with Dr. Rassiwala as quickly as possible.

Payment Options

We don’t want finances to stand between you and the healthy smile you deserve. We accept a number of different payment options, including personal checks, money orders, and most major credit cards. Financing is also available through CareCredit™.

Payment is typically required at the time the procedure is performed. However, if your treatment requires more extensive dental work, contact our office to discuss your payment options.

Dental Insurance

We accept a number of different dental insurance plans, mostly PPO, and will even file your insurance to save you the headache. For more information, please contact our office today.

Our Patients Are Like Family

If you have any questions or concerns not covered on this page, please contact Inspire Smiles Dental in Dublin, CA at (925) 833-9500. We are looking forward to meeting you and uncovering your inspired smile.

Visit Our Office

Dublin, CA Office

7739 Amador Valley Blvd, Dublin, CA 94568

Email: [email protected]

Book Now

Office Hours

  • MondayClosed
  • Tuesday8:30 am - 5:00 pm
  • Wednesday8:30 am - 5:00 pm
  • Thursday8:30 am - 5:00 pm
  • FridayClosed
  • SaturdayBy appointments only.
  • SundayClosed
925.833.9500