resources dental forms

Patient Resources

We Make it Easy for You

Save time by filling out these forms before you come in for your dental appointment.

If you need further assistance, do not hesitate to call us.

Welcome new Patient Form
PDF
Please tell us about your Health History
PDF
Information about our Office Policy Page 1
PDF
Information about our Office Policy Page 2
PDF
Healthy Smile for Life

Fill out this form to contact our office!

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Last Name:*

Email:*

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View Our Office Locations

Montebello Office

709 W. Beverly Blvd. Suite #201
Montebello, California 90640
Tel: (323) 724-1010
Fax: (323) 724-2203

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Ontario Office

1857 E. 4th Street
Ontario, CA 91764
Tel: (909) 986-5000
Fax: (909) 986-7070

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Santa Ana Office

2800 N. Main Street # 1010
Santa Ana, CA 92705
Tel: (714) 617-7979
Fax: (714) 617-7278

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