Patient Forms

310.278.6630

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New Patient Forms

If you’re a new patient with Dr. Stuart Shlosberg, please see the below forms. You can fill these out ahead of time and bring them with you to your first visit. Your first visit will be a great opportunity to build the foundation of a long lasting dental relationship. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know Dr. Shlosberg. To understand what to expect for your first visit to our practice, please read through each of the forms below. Save some time at your first visit by printing out and completing the patient forms in advance.

Patient Registration Form

You can view & print our patient registration form to bring with you on your visit.

Medical History

You can view & print our patient registration form to bring with you on your visit.

Smile Evaluation

You can view & print our patient registration form to bring with you on your visit.

Office Location & Driving Directions

Patient Information Menu:

310.278.6630

414 North Camden Drive #925
Beverly Hills, CA 90210

Schedule your free consultation

Schedule your free consultation

310.278.6630