The new patient forms to print and complete are the Registration Form, General Consent Form, Medical History, and Dental History. There are two of the exact same versions of each form (.pdf and .doc). You only need to print and complete one of each form.
New Patient Registration Form:
 Registration Form |
 Registration Form |
Patient Consent Form:
General Consent Form |
General Consent Form |
Patient Medical History:
Medical History |
Medical History |
Patient Dental History:
Dental History |
Dental History |
If you have difficulty downloading or printing the forms, please let us know. We can send them by email or by US Postal Service.
Miscellaneous Forms
The following forms are ones that we frequently give to our patients or are signs that are posted in our office. They are here for you to open, read and print as you need. If you have any questions about the information in these forms, don't hesitate to call at (818) 225-7744.
Health Insurance Portability and Accountability Act (HIPAA):
HIPAA Form |
Dental Materials Fact Sheet:
Dental Materials Fact Sheet |
Dental Record Release:
Dental Record Release |
Postoperative Instructions:
Postoperative Instructions |
Symptomatic Care for Temporomandibular Disorder:
Care for TMJ |
Denture Care Instructions:
Denture Care |