First Visit : Burbank/Hollywood Dentists
New Patient Forms
We welcome new patients of all ages to our practice! Please download the new patient forms to expedite the paperwork at your first visit for your convenience. Please print and bring completed forms to your appointment.
Adobe Acrobat Reader is needed to download these forms. If you do not have it, please click here to download the latest version.
For those who are joining our family of patients, it might seem out of the ordinary to be scheduled for a 60-minute new patient visit with your doctor and hygienist. This time is reserved especially for you to ensure that you can receive a thorough examination and consultation with Dr. Segulyev or Dr. Chan. We look forward to getting to know you and your family, and to talking with you about your oral health and expectations for your smile. Our goal is not only to take care of our patients’ dental needs, but also to get to know each person by name and treat them like we’d want our own family to be treated. We love to see you smile!
Call today to schedule a convenient appointment!
