For your convenience, our dentist, Dr. Shahin Issac Bina, offers online new patient forms to help you get into our system and save some time at your first visit to Encino Cosmetic & Dental Implants. You can fill in the forms electronically below, or you may print them out to fill out and bring into our dental office in Encino, California.

If you have any questions about our patient forms, please give us a call today at 818-907-1818.

The online forms are only available through the desktop Google Chrome browser. You can download the browser HERE.