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Patient Forms


For your first visit to our Torrance, CA practice please print out, read, and sign the following information.  Please do not send any information by email or through this site.  Contact us if you have any questions or if we can help you in any way!  (*Please sign these forms and bring with you to your first visit)

-    New Patient Forms*

-    Dental Materials Facts Sheet

-    Acknowledgement of Dental Facts Sheet*

-    HIPAA/Notice of Privacy Practices

-    HIPAA/Privacy Policies Acknowledgement/Agreement*

-    Update your Medical History