Health History Forms


Male Doctor Filling Form

If you are a new patient, please fill out the necessary registration and health history forms at the following link. The information will be directly transferred so you don’t have to fill any forms on your first visit.

Thank you for helping us to reduce paper usage and contribute to saving the environment.

If you have any difficulties with filling the forms at the above link, our staff will be most happy to help you do the same in our office.

Munira Lokhandwala, DDS FICOI
StarBrite Dental is dedicated to helping patients get their healthy bright smile back with quality dental treatments and advanced technology.

Our team consists of Dr. Munira Lokhandwala and Dr. Maryum Tariq who are highly skilled dentists with decades of dental experience in both cosmetic and general dentistry.
38350 Fremont Blvd #103, Fremont CA 94536
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Stefanie S.

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Really enjoyed my time here even though it’s a dental appt. the staff are friendly, doctor is very knowledgeable. Read More Reviews