Patient Forms
Complete your forms ahead of time for a smoother visit
As part of your visit to Prime Dental Dental, we will ask you to complete your patient forms. This will allow us to have a better idea of your current oral and overall health, and provide personalized treatment plans.
To help your visit run more smoothly, we have provided our patient forms on this page. You may download your forms and complete them in the comfort of your own home prior to your appointment. This will shorten your waiting time and increase the time you have with your dentist.
Important Note:
In order to submit the online forms, you must use Google Chrome web browser. Currently the online forms are not compatible with mobile devices.
Online Forms
New Patient Form - English
Fill out your patient information online
New Patient Form - Spanish
Complete su información del paciente en línea
Printable Forms
New Patient Form - English
Download and print to fill out at home
New Patient Form - Spanish
Descargue e imprima para completar en casa
If you have questions regarding our patient forms, and to schedule your appointment with Dr. Vahag Mehrabian and one of his associate dentists, we welcome you to contact us today. We are always happy to help!