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New Patient Forms

Please click the button below to download our New Patient Forms.

Please fill them out and bring to your first appointment.

 

** Please note that if you are unable to keep your scheduled appointment,

no charge will be made if 24 hrs is given. **

Thank you.

Notice of Privacy Practices

Please click the button below to download a copy of the Notice of Privacy Practices.

 

Insurance Plans

We accept all PPO Insurance Plans, however, we are only contracted in-network providers for the following:


Delta Dental Premier

Blue Cross 300

 

All other PPO plans would be considered out-of-network, but we are happy to bill them for you.

We do not accept any HMO plans, Medicare, Medi-Cal, or Denti-Cal.



 

7325 Medical Center Dr.
Suite 207
West Hills, CA 91307
818.703.8455