Patient Info
Forms
Please use this form for general inquiries only. Do not submit personal health information. Patient care details should be discussed during your appointment. New patients must provide X-rays from the past year or have them taken at our office before treatment.
Online Booking
Book your dental appointment online easily and quickly, 24/7. Simply choose your time and reserve your spot today!
Medical History
Please provide your medical history to help us deliver personalized care. Your information is confidential and essential for your treatment.
Dental Insurance
We accept many dental insurance plans to make care more affordable. Provide your insurance details, and we’ll help with coverage and claims.
Dental History
Share your dental history to help us provide the best care.
Demographics
Please complete the demographics form to help us keep your contact and personal information updated for improved service.
Financial Policy
Our Financial Policy provides clear payment options and insurance assistance. Contact our Financial Coordinator for more details.
Acknowledgement Of Privacy Practice: HIPAA
We recommend periodic X-rays for early detection. Please verify your insurance coverage and let us know if you choose to decline them.
Smile Gallery
Welcome to our Smile Gallery! Here, you can explore some incredible smile transformations crafted by our skilled prosthodontist, Dr. Shervin. Enjoy the remarkable results!
Referral Rewards
Thank you for your support! Referring friends and family is the greatest compliment we can receive, and we’d like to show our appreciation. For every two people you refer, you’ll get a $25 Amazon gift card!