If you are a new patient to our office, the forms below will need to filled out when you arrive for your first appointment in our Burbank periodontal office. Printing them, filling them out and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.
Thank you and please call our dental office if you have any questions or need any assistance
Patient Registration & Medical History
nueva forma de historia de salud del paciente
HIPAA Privacy Act
HIPAA Privacy Notice Levine
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Review Description: Being 75 years old,I guess you could say I have been in a lot of dentist chairs.My experience from the first visit to this office of DR LEVINE, told me I had found the best office ever. The office is spotless, the staff is friendly, professional, well educated and trained. All procedures are well explained. So why is this office different from any other? They treat you like a friend of the family. They take the time to know you and make sure you are comfortable and they listen to your concerns. .No need to feel anxious or nervous. They make coming to the dentist something to look forward too. Can you believe you could ever say that?????
Carleen F.
Rating: 5 stars Review Headline: Dr Levine is the best! About the Office: Office cleanliness: 5 stars Staff friendliness: 5 stars Short wait time: 5 stars Chairside manner: 5 stars Explained treatment: 5 stars Review Description: Dr Levine and his staff run the most professional and caring office I have ever been to. I recommend them to everyone.
Robert C.
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