Call us! 310-359-8444

Please fill out each form completely. Check all boxes. Print a "PDF" file and save it to your computer. We look forward to meeting you!

New Patient Forms

adobe

*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

Our team would like to thank you for selecting our office to care for your dental needs. Our goal is provide each patient with the highest level of care in a gentle, efficient and pleasant manner and to strongly encourage prevention of future dental problems.

Your first visit will be spent reviewing your medical and dental history so that we may learn more about you. We will be taking the necessary dental radiographs to assist us in establishing how we can best help you.

Please download and complete our new patient registration and medical history forms. Once completed, please print the forms, write your signature on the applicable pages and return the completed forms to us via scan or fax to 310.395.2288. Once we receive your forms, we will then finalize your reserved time and call you to confirm your appointment.

If you have any questions, please do not hesitate to call our office at 310.393.0465 or you may email us at info@bestnaturalsmile.com. We look forward to meeting you.

Sincerely,
Best Natural Smile and Team

New Patient Forms

You may access the following forms to assist us with your care. Please download, complete and print the following forms, and then bring them to your appointment.

adobe

*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

Powered by TeleVox®Administration

Top