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Patient Forms

Make your first dentist office appointment even faster by using our printable new patient forms. For more information on how to make best use of these forms, please call our office at: 310-444-1445.

It's More Convenient

Once you make an appointment, our office will ask you to provide patient registration details such as name and address, responsible party, consent for treatment, etc. You can save time by printing and filling in these forms yourself.

Bring The Forms With You

After you've completed the medical history and new patient forms, simply bring them with you on the day of your visit. Alternately, you can also fax them to us at 310-444-1489 prior to your dental appointment -- if you prefer.

Federal law also requires us to give our patients a Notice of Privacy Practices. A link to this form is located below.

Although it's not required, bringing completed forms with you will save time spent at our office and help make your first appointment less troublesome. If you have any problems downloading the forms, be sure to call our office and we will gladly send them by mail, or fax them to you.

Just so you'll know, our online registration form is a PDF document file. You must have the current Adobe Acrobat Reader (free) installed on your machine to view & print the forms.

Install Adobe Acrobat Reader

Click to read our Notice of Privacy Practices

Click to complete our Patient Forms