Available public form
New patient intake
Start here if you are coming to Envista for a new visit. Completing this form before your appointment helps the team begin with the information you want to share.
Patient Forms
A head start on your visit.
Choose the public form that fits your visit. Each opens securely in a separate window, and our team is happy to help if you are not sure where to begin.
Patient forms
Choose the form that fits your visit.
Each form opens securely in a separate window. If you are unsure which form applies, call Envista Medical and the team will help you begin.
Available public form
Weight loss intake
Use this form when you are preparing for a weight loss and wellness consultation. It gives the team useful background before you meet.
Available public form
Workers’ compensation intake
Use this form if your visit is connected to a work-related injury. Bring along any claim or employer details you have been given.
Available public form
Personal injury intake
Use this form if your visit follows an injury involving another party. Share the information you have, and call the office if you need help knowing what to include.
Your care, in one place.
Access your appointments, available forms and care information in your patient portal.
Already an Envista patient?
Your patient portal remains a useful place to review appointments, available forms, and care information between visits.
- Sign in to the patient portal
- Book a visit online if you need a new appointment
- Call (661) 587-0700 if you would rather talk first
Good to know
Your questions, answered.
Can I submit a form on this page?
Choose a form below and it will open securely in a separate window. Complete it there when you are ready.
I am new to Envista. Where do I start?
Choose the new patient intake form if it fits your visit, then book online or call the office if you want help with the next step.
What if I cannot access the portal?
The public intake forms do not require a portal sign-in. For portal help or questions about which form applies, call (661) 587-0700.
Your next step
Let’s get you moving forward.
Book a consultation, ask your questions, and find a clear path for your care.
A clear answer
What to know
Choose the public form that fits your visit; each opens securely in a separate window.