Consent Forms — MAS’OOD CAJEE, DDS, MPH

• Dental procedure
• Denture Treatment
• Extractions
• Extraction of Teeth – Spanish
• Implants
• Implants – Spanish
• Pediatric: Your Child’s Appointment
• Photo or Video Release Consent Form – Adult (English and Spanish)
• Photo or Video Release Consent Form – Child (English and Spanish)
• Refusal Form: X-Ray
• Refusal Form: Periodontal Treatment
• Root canal
• Root canal – Spanish

MAS’OOD CAJEE, DDS, MPH

Trusted, Caring, & Comfortable Dentistry for our neighbors in Manteca, Lathrop, Ripon, Escalon, French Camp, Tracy, and Stockton.

Call us today to schedule your dental appointment in Manteca!
(209) 825-6000

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Monday to Friday
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Sat: By Appt

Call us at (209) 825-6000

Your call will be answered by a live person 24/7/365 in English or Spanish. We look forward to seeing you!

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