New Patient Forms


a patient handing in new patient forms at Kelly Smile Dentistry
The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at (442) 229-0766 and our staff will be happy to help you.


Victorville Office

12120 Ridgecrest Rd
Suite 203
Victorville, CA 92395

(442) 229-0766

Century City

2080 Century Park E
Ste 1103
Los Angeles, CA 90067

(310) 553-2233
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