Patient Forms

(818) 347-3971


If you are a new patient to our office, we ask that you either arrive 30 minutes prior to your appointment to enter your confidential data on our secure computer software program or simply download the Patient Registration & Medical Dental History forms below or complete these forms, then scan and email your data back to our office in advance of your appointment. 
Please contact our office if you have any questions.  Thank you for your time and consideration. 
Our email address is 


Online Patient Forms

For new patients coming in for a comprehensive TMJ (jaw joint and facial muscle pain) examination, please download the following questionnaire:

 TMJ Questionnaire 


Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.



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