Now accepting Telehealth appointments. Schedule a virtual visit.

Patient Forms


Promoting A Tranquil First Visit

We are happy to offer online forms to our new patients for improved convenience. Please download and complete the forms below before your first visit. We welcome calls if you experience difficulty while downloading the forms or if you have any questions. By bringing the new patient documents with you, we can streamline your introduction to our practice, while minimizing your wait time. Your dentist, Dr. Chakka, and our entire team look forward to meeting every new patient, and enjoy serving you with excellent care in preventive, cosmetic, restorative dentistry, children’s, and emergency dentistry.

Click for New Patient Forms

Call Your Rancho Cucamonga, CA, Dentist Today

At Stadium Dental Orthodontics, Sekhar Chakka, DDS, and our dedicated staff provide comprehensive and compassionate dental care for the entire family, including preventive, restorative, and cosmetic dentistry. To schedule an appointment, call our office today at (909) 476-9678. We proudly welcome patients from Rancho Cucamonga, CA, as well as Ontario, Fontana, Upland, Rialto, and the surrounding communities.


Stadium Dental & Orthodontics
10837 Laurel St., Suite 100
Rancho Cucamonga, CA 91730
Phone: 909-476-9678
Fax: 909-481-0040

Office Hours

Get in touch