11900 South Street, #108, Cerritos, CA 90703 Español
Mon–Fri 9–6 · Sat 8–4 (562) 414-5064

Patient Forms

Download, print, and complete your forms at home — check-in takes a minute.

New patient paperwork

Save time before you arrive

New patients need two forms: the New Patient Form and the Medical History Form — both available in English and Spanish. Prefer to fill them out here? Just arrive 10 minutes early and we’ll have them ready.

Please answer the medical history completely — medications and health conditions genuinely affect dental care decisions.

Forms done? Let’s book it

Same-day and Saturday appointments available.

Call (562) 414-5064
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