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New Patient Forms in Valley Village, CA

Complete your paperwork before you arrive.

Download and complete your forms in advance to save time on the day of your first visit. Questions? Call us at (818) 766-7776.

RATED 5.0 ACROSS 190+ REVIEWS·MERCURY-SAFE · IAOMT · FICD · ICD·FLUORIDE-FREE PRACTICE·INSURANCE + RITEPLAN·SAME-DAY EMERGENCIES

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(818) 766-7776

OFFICE HOURS

Mon – Fri · 9 AM – 6 PM

OFFICE LOCATION

12520 Magnolia Blvd, Suite 205

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Before your first visit

Your New Patient Forms

Required · All new patients

Patient Information & Consent

Personal, medical history, and consent to treatment. Complete and return before your appointment.

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HIPAA · Privacy

Notice of Privacy Practices

Our HIPAA privacy policy and your rights as a patient of Rite Dentist.

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How to submit

Three Ways to Return Your Forms

Email — Complete the form digitally and email it to [email protected] before your appointment. This is the fastest option and helps us prepare your chart in advance.

Print and bring — Download, print, and complete the form at home. Bring it with you to your first appointment and hand it to our front desk team.

Complete in office — If you’re unable to complete the form in advance, please arrive 15 minutes early to your appointment so our team can help you fill it out before you see the doctor.

NEW PATIENT SPECIAL

Claim your first visit, for $250.

Comprehensive first visit with exam, digital X-rays, personalized treatment plan, and your first cleaning. Built for patients who want time, transparency, and zero pressure.