Patient Forms

For your convenience, we have supplied our patient registration forms in two formats.

Simply click on the links below to choose between the Printable PDF version or the Online Patient Registration version. Please call our office if you have any questions.



Accessibility Statement

Tarzana Dentist • Life Smile Dental • 19588 Ventura Blvd • Tarzana, CA 91356 • 818-345-4383
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