During your first visit to City Dental Centers, you will probably have quite a bit on your mind. Our dentists, Dr. Sam and associates, and our team want you to spend your time at our office giving us the chance to get to know you, answer your questions and create your customized treatment plan. To make your dental appointment in Pico Rivera, California, easier, we have provided access to our patient forms below. You can call our team at 562-949-2526 if you have questions about your paperwork or to schedule your visit.

Downloadable Forms

Consent Form (English)
Consent Form (Spanish)
Health Information Form (English)
Health Information Form (Spanish)

Online Forms

Consent Form
Health Information Form