Patient Forms

Appointments:

Our office provides regular office hours Monday through Thursday. 8:00 a.m. to 5:00 p.m. and Friday by appointment. Call (209) 523-KIDS (5437) to schedule an appointment. If you must cancel or reschedule an appointment, we require 72 hours notice.

ADA COVID Patient Screening Form

Medical History

Insurance information form

Patient information form

*if unable to access forms online please download them manually

1.Download Medical History Exam

2. Download Patient Registration Form

Finances:

We accept most major dental insurances. All deductibles and estimated co-payments are due at the time dental treatment is provided. Our estimates are made according to the information given to us by the insurance company and the contracted employer. Any additional charges not covered by insurance will be the obligation of the responsible party. We accept cash, personal checks, as well as VISA, MasterCard, and Discover credit cards. In addition, Care Credit Applications are available in the office.

Reviews

Dr Bautista’s office is the 4th dental office we’ve visited for our 4 year old daughter and it’ll be the last office. Dr. Bautista took the time to explain everything; we never felt rushed or belittled. You can tell he and his staff truly care about creating a good experience for the kids and parents. So glad we’ve found this office!

-Jennifer Brown via Google

I have been taking my kids to Dr. Bautista since they were little. Outstanding service and very friendly staff. He is a wonderful pediatric dentist. I have already successfully referred a friend to his office.

-Cynthia Soto via Google

Dr. Bautista is caring and very professional as well as other staff members there, he knows his job pretty well and especially when it comes to kids he does his best to make them happy. Already a client for 3 years and im looking for more years to come.

-MARIACARMEN BOTELLO via Google

Dr. Bautista is hands down THE best there is!! My daughter had to have quite a bit of dental work done and had to be put under for it. As a mom that was a scary situation for me but Dr. Bautista and Dr. Lenhart (the anestheologist) were AMAZING! They took an extensive amount of time to help this crazy emotional mama feel at ease about the whole situation. You will not find a better dentist than him. As well as his staff! Every single person I dealt with in his office was so friendly. I could go on and on but truly all around they are simply wonderful!

-Tristin Yoshino via Google

As a person in the dental field you tend to be picky about who treats your children. Dr. Bautista has been amazing with my young boys. They love going to see him and the staff and get their “iron man pictures” (xrays) taken and their teeth clean. I love that my boys get so excited when we have appointments with Dr. B!