Cell: (310) 666-7825

Patient Forms

We have made all of our patient forms available to you as Adobe Acrobat files.  For your safety and convenience, we recommend printing and completing these forms in the comfort of your home.  

Note:  Our forms require Adobe Acrobat Reader. If your computer does not have this software, it is available for free download here: https://get.adobe.com/reader/

Please remember to bring your completed forms with you for your first appointment.  If you have any problem getting these files to print properly, please call our office, and we will gladly send or fax them to you.

All the forms:

Pre-Operative Instructions for Dental Surgery Form Acknowledgment of Privacy Practices Form Medical History Update Form Disclosure & Consent--Dental & Oral Surgery Form Supplemental Disclosure & Consent Form Post-Operative Instructions Following Dental Surgery Form

Miscellaneous forms (if required):

Medical Consultation Form Implant Consent Form

Coronectomy Consent FormBisphosphonate Consent FormAnesthesia Consent Form


Contact Dr. Forooghi

(310) 666-7825