Online Forms/Instructions
Online Forms & Information

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Patient Registration

Oral Sedation Consent Form

HIPAA privacy Form

  This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of your health information is important to us.

Post-op Instructions Form

  This sheet will go over some information about what to expect for the next few weeks now that the root canal is completed.


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16661 Ventura Blvd, Suite #609, Encino, CA 91436. Ph: 818-344-3559