If you are a new patient to our Covina cosmetic & family dental office, the forms below will need to filled out when you arrive for your first appointment in our dental office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival. Thank you and please contact our Covina dental office if you have any questions or need any assistance.
New Patient Registration Form
HIPAA Privacy Act
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