At City Dental Centers, we are out to change the way you think about dentistry! We want to make sure that your visit with our dentists is as convenient and — yes! — as enjoyable as possible. One way we can keep your first appointment with Dr. Sam and associates stress-free is by providing our patient forms here. You can print out your forms and bring them with you to your visit, or for even greater convenience, you can complete and submit your paperwork electronically. If you need assistance or want to plan your dental appointment in Corona, California, call our office at 951-737-3746 and speak with one of our helpful team members.

Downloadable Forms

Consent Form (English)
Consent Form (Spanish)
Health Information Form (English)
Health Information Form (Spanish)

Online Forms

Consent Form
Health Information Form