Please click the button to complete our new patient formsONLINE.

Thank you!

OR

Please click the button to get a copy of the Patient Registration Form which includes the medical and dental  history. Please complete the form and bring it to your first appointment. Thank you!

Please click the button to get a copy of the Patient COVID19 Form.  Please fill out the form for every child AND parent coming to the office appointment.  Please complete the form and email it or fax it to our office before your appointment. Thank you!

41253 12th Street West, #C

Palmdale, CA 93551

(661) 225-9964

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