pATIENT FORMS

Please print and complete the COVID-19 Questionare before coming into the office. You can email the completed form or bring it to your appointment with you. In order to protect our other patients and staff, we will not be able to see you if you do not complete this form. Our email is smile@kennethblouiedds.com Thank you!

3845 BEACON AVE, SUITE C

FREMONT, CA 94538

smile@kennethblouiedds.com

TEL: 510-793-4550

MON: 9 AM - 6 PM
TUES: 9 AM - 6 PM
WED: 9 AM - 6 PM
THURS: 9 AM - 6 PM
FRIDAY: CLOSED
SATURDAY: CLOSED
SUNDAY: CLOSED

 

© 2015 Kenneth B. Louie, DDS  All Rights Reserved