Patient Forms

We welcome all patients to our office with a complete New Patient examination and a subsequent hygiene visit. These are scheduled for you at the time of your initial call to our office. After your initial contact with our office, please access the following secure link to electronically fill out the new patient forms. Upon finishing these forms, they will be downloaded to our office and be ready for you when you arrive for your first visit.

To complete New Patient Forms, please click here

  
1956 Indian Hill Blvd.
Pomona, CA 91767
Phone: 909.621.5848
Fax: 909.621.5458