Accessibility
Driving Directions
Contact Us
Appointment Request
Call (805) 239-9597
Gateway Dental Practice
Creating Beautiful Smiles
Call (805) 239-9597
Search
Menu
Forms
Home
New Patient Form
Click to open
NEW PATIENT FORM (PDF)
Print out the form
Fill out the form
Bring the completed form with you to your first appointment. You may also drop the form off prior to your appointment.
Dr. Jacob Wood D.D.S
<iframe id='map' class='col border-0 rounded overflow-hidden' src='https://maps.google.com/maps?&q=502+First+Street%2c+Suite+B%2c+Paso+Robles%2c+California+93446&output=embed&z=16'></iframe>
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.
Name
Phone
Email
Message
Ready for your first appointment?
Welcome
Services
Cleanings & Prevention
Digital X-Rays
Fluoride Treatment
Oral Cancer Exam
Panoramic X-rays
Dental Exams & Cleanings
Cosmetic Dentistry
Teeth Whitening
Porcelain Veneers
Composite Fillings
CEREC®
Opalescence® Teeth Whitening
Restorations
Crowns (Caps)
Dental Implants
Dentures & Partial Dentures
Fixed Bridges
Root Canal Therapy
Straumann® Implants
Periodontal Disease
Diagnosis
Treatment
Maintenance
Mouth - Body Connection
Oral & Maxillofacial Surgery
Tooth Extractions
Bone Grafting
Oral Pathology
Sleep Apnea
Sleep Apnea Appliances
Botox® as an Alternative Treatment for TMJ
Wisdom Teeth Extractions
Dental Anxiety and Fear
Sedation Dentistry
Dental Emergencies
Surgical Instructions
Before General Anesthesia
After Dental Implant Surgery
About
Staff
Office Photos
Blog
Forms
Office Policies
CareCredit
Dental Financing
Appointment Request
Contact
All-ON-4 Dental Implant Teeth Xpress
Dental Videos
Pre-Operative Instructions
Post Operative Instructions
Financing