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Patient Forms

Call (310) 271-3003

If you are a new patient to Dental Group of Beverly Hills, Beverly Hills, CA., the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our Beverly Hills 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 when you arrive for your first visit to our Beverly Hills dental office. You may also fax them to us at (310) 289-1865 or e-mail them to dentalgpbh@yahoo.com. Thank you and please contact our dental office at (310) 289-1818 if you have any questions at all.

**Most of the forms are in Adobe Acrobat (PDF) format. If you do not have Acrobat Reader, get a free copy by clicking on the link below.

 

Welcome Letter

New Patient Information Form - English (page 1)

New Patient Information Form - English (page 2)

New Patient Information Form - Spanish

New Patient Information Form - Spanish (page 2)

Post Operative Instructions for implants and Extractions

Patient Records Release Form

Dental Materials Fact Sheet

HIPAA Privacy Form

 

                        

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