New Patient Forms

Want to save time? We encourage all new patients to fill out the new patient form before visiting our office. This will help you to save time during your first dental appointment. Also, it allows us to review your history to provide you with a personalized treatment plan.

Fill out new patient forms online:

New Patient Form (English)

Other Forms

Statement of Financial Policy

Health Questionnaire

HIPAA RELEASE

Photography Release

If you have any questions about the forms, please contact us online or give our office a call at 213-463-8870, and our friendly patient care coordinator will be happy to assist you. We look forward to becoming your provider of dentistry in Brentwood!