Hawthorne CA Dental Services

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Dr. Cris Durghinescu DDS, Dentist Hawthorne CA

Patient Forms

New patients: please print and fill out the Health History Form and the Acknowledgement of Receipt of Notice of Privacy Practices, before your scheduled appointment time.

Existing patients: please fill out a new health history form every time your health condition has changed, so we can update your health information on file.

Health History

Notice Of Privacy Practices (HIPPA)

Acknowledgement of Receipt of Notice Of Privacy Practices (HIPPA)

Informed Consent-Dental Implants

If you don't already have Adobe Acrobar PDF Reader, please click HERE for a quick and free download.

General Dentistry Hawthorne

Cosmetic Dentistry in Hawthorne

Hawthorne Dental Services

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12950 Hawthorne Blvd, Hawthorne, Ca 90250
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