From all of us at Dr. Whitmer’s office, we are thrilled you have chosen us to be your new dental home and we look forward to taking great care of you like many of our patients before you!

Please take 15-20 minutes of your time to complete the following 2 New Patient documents – Patient Registration and Medical History Forms – by clicking on the link.

Please complete these forms in a timely manner, on a tablet or desktop, as the website is secure and encrypted to protect your important information BUT will timeout on you if you leave your documents idling.

Please plan on being in our office for about 1.5 hours for your new patient visit; we need a little more time this visit to get to know you and see what we can do to make you smile!
If you have X-rays from another dentist, make sure we receive these BEFORE your first visit, or we will need to take a new set when you arrive.

Any questions? Please feel free to contact us at (805) 379-1989 or email us at info@whitmerdentistry.com.

And lastly, if you would like to view our No-Show/Late Cancellation Policy, HIPAA Privacy Policy, and/or Dental Materials Fact Sheet, please scroll down this page and download a version.

New Patient Questionnaire


Dental Materials Fact Sheet

Click here to download


HIPAA Privacy Policy

Click here to download


No Show / Cancellation Policy

When we make your appointment, we are reserving a room for your particular needs. We ask that if you must change an appointment, please give us at least 48 business hour notice. This courtesy makes it possible to give your reserved room to another patient who would like it.

There is a charge for not showing up for scheduled appointments. Repeated cancellations or missed appointments will result in a NO-SHOW/LATE CANCELLATION FEE of $50.

We feel that our patient’s time is valuable. When your appointment is made, a room is reserved, your records are prepared, and special instruments are readied for your visit. Except for in the case of an emergency for another patient, you can expect us to be prompt and respectful of your time as well.