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New Patient Paperwork Communication is important.
    New Patient Information - Medical Records
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Other Information

New Patient Information

Our Philosophy

Insurance Questions

Our Strategic Partners

 

Dr. Co needs to know about your dental health and your overall medical status. Because of this, all new patients must fill out a complete medical history form prior to any treatment being performed.

We'll mail this form (and other information about our office) to you so that you can fill it out at home and mail it back to us before your appointment.

However if you'd like to preview it and you have Adobe Acrobat Reader® 5 or later (it's free), you can download the PDF file from the link below.

Need Acrobat?
   

If you don't have the free Adobe Acrobat® Reader that's required to view and print the new patient form, you can get it from Adobe's web site by clicking the picture below.

Get Acrobat Reader

       
Office Location: 1818 W. Burbank Blvd. Burbank, California 91506