Patient Forms

To save some time during your visit to the dental practice of Sami Y. Nouhad, DDS, we welcome you to complete your new patient forms in advance. This will help us provide you with a dental experience that is streamlined and efficient. Simply click on the links below to access our new patient paperwork. If you have any questions or need assistance, please do not hesitate to contact our knowledgeable dentist and team by calling our dental office in Los Angeles, California. We look forward to speaking with you!

English Forms
Spanish Forms


Financial Options

Dr. Sami Y. Nouhad and our entire dental team are committed to providing you with an exceptional dental experience. We strive to provide high-quality dentistry at reasonable rates, and we accept a number of convenient payment options to make it simple for you to afford the dental care you need. We accept a wide range of HMO and PPO dental insurance plans; for more information about insurance, please contact our Los Angeles, California, dental office. We also accept the following forms of payment:

  • Cash
  • Checks
  • Credit cards (Discover, MasterCard, American Express, and VISA)
  • CareCredit (a third-party financing company that provides monthly no-interest payment plans)

We invite you to call or visit our dental office today to speak with a member of our helpful dental team. We would be happy to answer any questions you may have and assist you in finding the financial solution that works for you.

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