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Dr. Gemma Francisco-Baluyut | Pleasant Hill, CA

Accepting New Patients - Call Us Today!  (925) 798-7570


Dr. Gemma Francisco-Baluyut | 115 Crescent Dr. Pleasant Hill, CA 94523 | Phone: (925) 798-7570 | Fax: (925) 687-9664 | Email:


To save time and to minimize contact on the day of your appointment, please fill out the necessary forms and email them to us at least 24 hours prior.

NEW Patient Forms

  • Download & Print

EXISTING Patient Recall Form


  • Zoom Whitening Consent Form

  • Crowns & Bridge Consent Form

  • Extraction Consent Form

Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by 
clicking here.