Patient Forms

Patient Forms

Going to the dentist can be an overwhelming experience, especially on your first dental visit. Let us put your concerns and anxieties to rest. Our goal at Pacific Dental Group is to make every patient experience as comfortable as possible.

To make your visit as pleasant and brief as possible, there are a few things you should bring with you. Please bring your dental x-rays from the last six months to your first appointment.

With just a few simple forms, we’ll ask for relevant medical history, any medications you might be taking, your dental history, and any dental insurance coverage you may have.

Want to get a head start? Download the new patient forms below.

These documents are in Adobe PDF format. If you’re unable to read PDF files, please  download free Adobe Acrobat Reader here.

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Our Happy Patients

"I am thrilled to have found such a great dentist in Los Angeles. Several people at my work use this dental practice and highly recommended it. When I relocated here a few months ago I knew that I would be needing a crown on one of my lower back teeth and I was putting it off because that part of the jaw is so sensitive. Dr. Garcia was amazing and had such a precise and gentle touch that I hardly notice I was getting a shot. I love the friendly staff and feel safe and welcome each time I visit. The free teeth whitening club is a great client goodwill gift and I'm proudly showing off my pearly white chompers!"

Lisa P. Lisa P.

"After looking for a new dentist. I settle for PDG as was greeted very nicely and the front receptionist was very sweet. The dentist & his asst. were very pleasant. I'll be staying for all my future dental visits and I can't wait to see how my new smile turns out. I really recommend this place to anybody who is a first time patients. Excellent service and reasonable prices, and cleans establishment, very professional but friendly as well."

Karen A. Karen A.

"It's weird to say I loved getting the screws put to my teeth, but as far as dentists go, these guys are some of the best I've ever been to. Friendly staff as well. I recommend going to them if you're in the area and looking for some dental health care goodness."

Josh P. Josh P.

"High Quality, Professional, Trustworthy. Going to the dentist usually makes people nervous, but the atmosphere here is so lighthearted and relaxing. You're definitely in good hands and won't have to worry about anything. Dr. Julius is very interactive, kind, and mindful of your comfort level at all times and it's so relieving to know that she knows what she's doing. My best dental experience by far :)"

Katherine H.

"Great Dentist, Great Staff. At 57 years-old, I've had several root canals, crowns, bridges, fillings, and extractions from many dentists, some who even advertise on radio. Having tooth-pain and not willing to wait 3 weeks for my regular dentist, I went to Dr. Julius in Monterey Park. I got an appointment the next day and two days later had major dental work on several of my teeth. (I just got home.) I had work done by Dr. Julius and 2 other dental specialists, also dealing with 2 other people of the excellent office staff there. Dentistry is both a preffession and a busines. Or is going to a restaurant only about the chef, and not the service? They didn't serve me food. They took care of my sh*t. Each and every one of them, all seeking the same outcome: to help me. Dr. Julius could advertise on radio, with higher prices. Maybe even on TV. I watched the finals of 'America's Got Talent' last night. Unfortunately, there were no dental offices on display. When it comes to dentistry and my teeth, I know talent. I watched the winners today."

David J.
We're here to help you get the perfect smile!
Have Questions? Call Us Now (818) 617-2001  OR   Schedule Your Visit!
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