Experience A Life Changing Smile

Granada Hills Office- (818) 363-7900
Santa Clarita Office- (661) 310-4985
Email Us- info@kimorthodontics.com

Granada Hills Office- 10515 Balboa Blvd., Ste 280, Granada Hills, 91344 | Santa Clarita Office- 18580 Via Princessa Ste. #3, Santa Clarita, 91387

Patient Forms

 

Help us prepare for your first appointment!

Simply download, print and complete the following (2) forms in advance of your visit to our office:

  • Health History (Child [PDF] or Adult [PDF])
  • HIPAA Acknowledgement [PDF]

* ONLY sign the HIPAA Acknowledgement form after you have read our office’s Notice of Privacy Practice [PDF].

Don’t forget to bring these forms with you at the time of your appointment.

If you’re unable to open PDF files, you can get Adobe Reader® for free.

 

Brian J. Kim, DDS, MSD, provides quality orthodontics for children, teens, and adults in San Fernando Valley, Los Angeles, Northridge, and Santa Clarita CA (California). Dr. Brian Kim specializes in orthodontics, offering Invisalign® and Damon® System. Contact Brian J. Kim, DDS, MSD, to schedule your orthodontic consultation

     
Granada Hills Office- 10515 Balboa Blvd., Ste 280, Granada Hills, CA 91344 - Santa Clarita Office- 18580 Via Princessa Ste. #3, Santa Clarita, CA 91387