Patient Forms

Save time on your first visit by printing out the required dental forms, completing them at home and then bring the forms when you come see us. Prior to printing any of these forms, please contact our office to find out which forms you will need to complete.

Download & Print Forms
The forms below can either be printed and completed by hand or completed online and then printed.    

 

Registration Form

Dental History Form

Personalized Aesthetic Evaluation Form

Notice of Privacy Practices / Patient Acknowledgement

Contact Us

We encourage you to contact us with any questions or comments you may have.

West Hollywood Dentist, Dr. Eric Fugier is dedicated to cosmetic dentistry such as Exams, Teeth Whitening, Veneers and more. We are looking forward to your visit to our West Hollywood, California dental office.

9201 Sunset Blvd , Suite 901 West Hollywood, CA 90069
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