Raymond R. Benitez, DDS, INC.
Excellence In Dentistry
A Beautiful Smile Is The Ultimate Accessory
Call: (916)452-3587

New Patient Forms

Sacramento Family Dentistry - New Patient Forms


 ~ Welcome ~ 

We look forward to meeting you in our downtown Sacramento dental office!

For your convenience, we have included our patient forms below which you can download, print, and complete. Bringing these completed forms with you will save time when you get to our office for your appointment. You may also just fill out the form(s) and hit "submit" at the end which will sent it directly to the office.


Please click below and fill out all forms.



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.

Office Location

  • Sacramento
  • 2650 21st St
  • Suite 4
  • Sacramento, CA
  • 95818
  • Map & Directions
  • Call: (916)452-3587