Simi Valley, CA 93065 Request Appointment (805) 317-4999

COVID-19 Office Updates
We are available for emergencies
Please call our office if you have any pain or emergency dental needs.
***All non-emergency appointments will be rescheduled.

New Patient Forms

A patient filling out a form at Simi Hills Dental with the help of a receptionist.

The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at (805) 317-4999 and our staff will be happy to help you. Click on the button below to download our new patient and medical history forms.

New Patient and Medical/Dental History Form

New Patient Forms

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