Patient Questionnaire (Online Form)
*If you do not have an appointment date yet, enter today's date
E-Services Patient Portal
Dentrix E-Services secure portal allows you to access your patient account. You have access to:
- Statements and Online Bill Pay
- Treatment Information
First time users will Register. The office will receive a notification to validate your portal access. This may take 1 business day.
**Please note that the password you create is limited to nine (9) characters. If you are having difficulty logging in after registering, please try only the first 9 characters of the password you created. We are working on permissions for longer passwords.
Please call the office for any assistance: 408-578-7121.