At City Dental Centers, we are dedicated to service and convenience, and we want to make sure that your first visit with our dentists goes smoothly. To help you prepare for your dental appointment in Azusa, California, Dr. Sam and associates and our team have provided access to our new patient forms on this page. You have the option of filling out your forms and bringing them with you to the office or submitting them to our office electronically. By completing your forms online, you will spend more time with our team improving your smile and give our dentists the chance to create treatment options before your visit. If you need assistance filling out your paperwork or would just like to plan your visit, call 626-966-3400 and speak with a member of our team.

Downloadable Forms

Consent Form (English)
Consent Form (Spanish)
Health Information Form (English)
Health Information Form (Spanish)

Online Forms

Consent Form
Health Information Form