Coronado Dental
Las Vegas Cosmetic Dentist Dr. Chi Pham
Phone: (702) 382-2709
Fax: (702) 387-9995
7377 S. Jones Blvd., Ste. 110
Las Vegas, NV 89139

patient information

Patient Forms

Now you may download and print your dental forms at your own home and bring them into the dental office before your first visit! It's convenient, it's less stressful and it's easy!

To download a form, simply click on the name of the form you wish to download.

Note: Forms are in Adobe PDF format and you will need an Adobe PDF Reader to view and print them.


form iconPatient Registration
form iconMedical/Dental History

patient information

Las Vegas Cosmetic Dentist

Office Hours

  • Monday:
  • Tuesday:
  • Wednesday:
  • Thursday:
  • Friday:
  • 9:00am - 6:00pm
  • 9:00am - 6:00pm
  • 9:00am - 6:00pm
  • 9:00am - 6:00pm
  • 9:00am - 6:00pm

Contact Info
Phone | (702) 382-2709
Fax | (702) 387-9995
E-mail |

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