Resources

(818) 547-4455 6300 San Fernando Rd., Glendale, CA 91201

New Patient Forms

Please click on any of the following links to download our new patient forms (PDF format) to print and bring into our office.

New Patient Form

HIPAA Privacy Form

Medical History Form

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Exceptional Pediatric Dental Care in Los Angeles CA

At Dr. Dan’s Pediatric Dentistry, we care about your children as if they were our own. We take the time to get to know them personally so we can help your child feel comfortable during their care.

New Patient Forms

Schedule Appointment

Exceptional Pediatric Dental Care in Los Angeles CA

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