Your First Visit

The goal of your first appointment is to determine your dental needs and desires. Except in emergency cases, you will receive a thorough head, neck and oral examination. We will screen you for high blood pressure and other medical concerns. We make a diagnosis to determine the type and number of x-rays which will be required. This valuable information will enable us to decide the amount of time required for your future treatment.

You can now save time at the doctors office by filling out our new patient forms before your first visit! Click on the link below to download our new patient packet in Adobe PDF format.

New Patient Packet
(6 Pages - 1.66 Megabytes)

Please print out, fill in and bring with you for your first visit.

To view and print these documents, you must have Adobe Acrobat Reader. If you do not have Acrobat Reader, click here to download it free!




HUGH A. BIALECKI, D.M.D.
P.O. Box 275, Blue Jay, California 92317
Phone: 909.337.0705 - Fax: 909.337.4925



© 2000 HUGH A. BIALECKI, D.M.D. - All Rights Reserved - Site Design by Progressive Design