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(626)799-8068
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Receive 10% OFF your first visit. Promo applies for patients without insurance.

health_resources.pngHealthy Smile Family Dentistry offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring them with you to your appointment.

New Dental Patient Form - Required

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!

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Online Forms
Our forms are available online so they can be completed in the convenience of your own home or office.