Patient Forms

Your first visit to Amazing Smile Family Dental establishes a vital foundation for our relationship with you.

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.


Fill out the form and we will contact you during our working hours. Urgent dental care will be provided usually the same day. Se habla Español.

    14349 Woodruff Ave.

    Bellflower, CA 90706

    (562) 455-1717

    Call us today!

    Office Hours

    Mon - Fri: 9:00 am - 6:00 pm

    Book Appointment

    Fill out our contact form