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Save time, update or fill your dental forms before your scheduled visits:

1-Patient Information form                (PDF)    or     Word Doc

2-Patient Medical History page 1      (PDF)    or     Word Doc

3-Patient Medical History page 2      (PDF)    or     Word Doc

4- Protecting your privacy                                       Word Doc

General Information

a- Notice of Privacy Practices  information               Word Doc            

b- Dental Materials Fact Sheet information               (PDF)

c- Dental Materials Fact Sheet  authorization            Word Doc

Print the forms,  complete them and than you can :

         fax them to:   (310) 394-8066

or   Mail them to :   Richard Haber DDS

                               1260  15Th St #701

                               Santa Monica   CA  90404

 or   Bring them with you to your scheduled appointment.