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Patient Forms

Please take a few minutes to complete and submit the Health History Form online.

This form should be completed prior to your consultation. We look forward to seeing you! 

New patients - Health History Form

Existing patients - Health History Update

Please click on this link for a copy of Los Alamitos Periodontics & Dental Implants Notice of Privacy Practices.

If you're unable to open PDF files, you can get Adobe Reader® for free.

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