New Patient Forms | PhD Dental | East LA

Accessible Version

All Locations Accepting Medical, Denti-cal (Medi-cal). We also accept all PPO insurances. Payments plans and financing available.

Todas las ubicaciones aceptan Medical, Denti-Cal (Medi-Cal). También aceptamos todos los seguros PPO. Planes de pago y financiamiento disponibles.

PhD Dental > New Patient Forms

Get the most out of your first visit with us by filling out the necessary forms online and sending them to the PhD Dental office of your choice.

Select Your Location:

Los Angeles

Fill Out Online

Inglewood

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Lynwood

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Pico Rivera

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Westchester

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Health History and Patient Information

You can also print these forms and bring them to your appointment.

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Your First Visit

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Hours, Location and Contact Information

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