Patient Forms

We are delighted to welcome you to our practice and are pleased that you have chosen us to serve your dental needs. We are serious about providing superior dental care and proud of our dedication to our patients. Our goal is to help you feel and look your very best through excellent dental care at our cosmetic dentist office. 

To facilitate being seen just as soon as possible at the time of your appointment, we would appreciate it if you would complete your registration prior your appointment. Please arrive 10 minutes early to your 1st appointment, allowing time for our staff to review your information. If you wish to complete these at our office, please arrive at least 20 minutes early. Of course, if you have any questions just give us a call or ask us upon arriving at our office.

Once completed, you will not have to fill out any more forms at subsequent visits to us. Our modern facility is fully equipped and computerized, allowing us to better serve your dental treatment needs and to aid in financial matters, to promptly process insurance claims and to have reliable and innovative ways for you and our office to communicate. 

Please click the “New Patient Form Button” to complete your patient forms on-line.

Please click the “Current Paitent Information” to update your patient forms on-line.

Thousand Oaks Smile Design 

Phone: 805-492-3553

Fax: 805-435-1857


430 E. Avenida De Los Arboles #102

Thousand Oaks, CA 91360

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Monday: 9:00am - 6:00pm

Tuesday: 9:00am - 6:00pm

Wednesday: 9:00am - 6:00pm

Thursday: 9:00am - 6:00pm

Friday: 9:00am - 5:00pm

Saturday and Sunday: By Appointment Only

Request an Appointment Here

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