Root Canal Specialist in Diamond Bar, CA

New Patient Forms

To prepare for your visit and deliver safe, efficient care, we ask all new patients to complete these forms before their appointment. The New Patient Registration Form confirms your contact and scheduling information. The Medical History & Medication Form helps our clinical team review medications and health conditions that may affect treatment planning. The HIPAA Notice of Privacy Practices Form explains how your information is protected and outlines your privacy rights. Please click and complete: