Sam Vijeh, D.M.D., Berkeley Dentist

Patient Forms

Sam Vijeh, D.M.D.
1206 The Alameda
Berkeley, CA 94709
Office Hours
Monday: 8:00 am - 6:00 pm
Tuesday: 8:00 am - 6:00 pm
Wednesday: 8:00 am - 6:00 pm
Thursday: 8:00 am - 6:00 pm
Friday: 8:00 am - 6:00 pm

Patient Forms

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.

Patient Information

Notice of Privacy Practices

Receipt of Practice Information

Cancellation Policy