Patient Forms

If you are a new patient to our office, the forms below will need to filled out when you arrive for your first appointment in our dental office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  Thank you and please call our dental office if you have any questions or need any assistance. 

New Patient Registration Form (coming soon)

HIPAA Privacy Act (coming soon)

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

Connect With Us

Ready to come in for an appointment?
Contact us today!

Melineh Arakelian DDS
Creating Beautiful Smiles

Glendale, CA Dentist Melineh Arakelian, DDS is committed to General, Family, Restorative and Cosmetic Dentistry and offers services that include: Dental Exams, Dental Cleanings, Crowns, Veneers, Dental Xrays, Root Canal Therapy, Periodontal Treatments, Emergency Dentistry and more. Accepting most dental insurance and offering dental financing. Welcoming Patients from Glendale, Burbank, Pasadena and Los Angeles area.


Site Developed by Prosites.com