Accessible Version
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

Pico Rivera


Health History and Patient Information

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

Call Us with Your Questions or to Schedule an Appointment
If you have difficulty using our website, please email us or call us at (888) 305-4866
View the ADA Accessibility Statement