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
Please tell us about your Health History
Information about our Office Policy Page 1
Information about our Office Policy Page 2
Smile, Change your life!

Fill out this form to contact our office!

View Our Office Locations

Montebello Office

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

Read more

Ontario Office

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

Read more

Santa Ana Office

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

Read more