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new patient forms

For your convenience, our New Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Please print and complete these forms at home before your first appointment. If you need assistance with downloading or printing these forms, please contact our office.

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Manny Fernandez, D.D.S
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Manny Fernandez

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Manny Fernandez, D.D.S
22600 Ventura Boulevard, Suite 204
Woodland Hills, CA 91364
General Info: (818) 225-0046
Top 10 critical things you should know before you select a dentist.

Call Today (818) 225-0046

Make an Appointment