To help your first visit go as smoothly as possible, we ask new patients to complete our intake forms in advance. These forms cover your medical and dental history, insurance information, and consent for treatment, and they allow your doctor to review your background before you arrive.
New Patient Forms, Fill Out Online
Complete your intake paperwork securely from your phone or computer through our online forms portal. Fastest option, no printing required.
Fill Out Forms OnlineNew Patient Form, Download & Print
Prefer to fill out your forms by hand? Download and print the PDF, complete it at home, and bring it with you to your appointment.
Download New Patient Form (PDF)How It Works
Choose Online or Print
Fill out the online form directly, or download and print the PDF version, whichever is easier for you.
Complete at Home
Fill out your medical history, insurance details, and consent forms at your convenience.
Bring Them With You
If you completed the printable version, bring the pages along with photo ID and insurance card to your appointment.
If you are unable to complete the forms ahead of time, please arrive 30 minutes prior to your scheduled appointment so our team can assist you in the office. Please note that time spent completing paperwork during your visit will reduce the time available with your doctor.
Questions about your forms or your upcoming visit? Call our office at (310) 473-3800, or return to our Patient Information page for more details about what to expect.