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 Dr. Maryum Tariq Dr. Richard Yai, DDS
Dr. Munira Lokhandwala, DDS, FAGD, FICOI, has been practicing dentistry in Fremont, California, since 1996, treating over 20,000 patients. She offers a comprehensive range of services, from root canals to Invisalign, using advanced technology like digital radiography to ensure precise and comfortable care. Dr. Lokhandwala's extensive credentials include certifications in dental implants, sedation, and cosmetic dentistry, demonstrating her commitment to excellence. Her patients appreciate her gentle touch and the serene environment at StarBrite Dental, making her a trusted provider in the Bay Area. With her dedication to continuing education and patient satisfaction, you can trust her.   Connect with Dr. Munira Lokhandwala on Linkedin

Dr. Maryum Tariq is a highly skilled dentist at StarBrite Dental in Fremont, CA. She earned her dental degree from the University of California, San Francisco, and is an active member of the American Dental Association, California Dental Association, and Academy of General Dentistry. Fluent in English, Urdu, and Punjabi, Dr. Tariq effectively communicates with diverse patient groups. She is committed to patient education, personalized care, and fostering partnerships for lifelong health. Her expertise and dedication to patient well-being make her a trusted authority in dentistry.   Connect with Dr. Maryum Tariq on Linkedin

Dr. Richard Yai, DDS, is an expert associate dentist at StarBrite Dental in Dublin, CA, with over eight years of experience in the field. A graduate of Loma Linda University (2013), Dr. Yai has practiced in New Mexico, Texas, and now the Bay Area. Known for his gentle communication and effective patient care, he excels in explaining conditions and planning optimal treatments. His dedication to dental excellence and patient trust is evident in his thorough, compassionate approach. Patients can trust his skills to deliver long-term solutions and exceptional care.
38350 Fremont Blvd #103, Fremont CA 94536 Location
Request An Appointment
Chis M.

Orignialy, Powered By
Google Logo

Friendly team at the door Good cleaning completed 👍 Just wasn't allowed to ask many questions at the end about but main next actions were explained Read More Reviews