Patient Forms

A Warm Welcome to All Patients!

We appreciate you choosing A New Smile as your dental practice for yourself and your family, and we look forward to meeting you. While you prepare for your visit, we extend an invitation for you to call our friendly team with any questions you may have regarding payment, insurance, financing, and more. We offer a selection of payment solutions to ensure every one of our patients has access to the same level of excellent, comfortable dental care.

Patient Forms

New Patients:
New Patients – Los Angeles
New Patients – San Fernando
New Patients – Santa Clarita

Existing Patients:
Existing Patients

Printable PDF Format:
Welcome Form (English)
Welcome Form (Spanish)

A New Smile Dental Group

Here at A New Smile Dental Group, we strive to offer each patient individual care and access to the highest-quality of modern dentistry at an affordable price. Learn more about our three locations by visiting our Areas We Serve page and schedule a consultation to start your journey for a beautiful new smile.