5160 Vineland Ave, #105
North Hollywood, CA 91601

Patient Center

 Patient Forms, Map and Directions to our Vineland office in North Hollywood and More

Welcome to our Patient Center! Thanks For Entrusting Us With Your Dental Care. Our North Hollywood office on Vineland Ave.  provides dental services for patients with a large variety of insurance plans or without any insurance coverage. Gershfeld Family Dental offers a complete range of dental care, including general and preventative care, cosmetic and specialty dental health services. We always strive to make your experience better. That’s why we created  this Patient  Center which will prepare you for your first or next visit. You will find here some online features that will save you time and make your dental experience much easier.

 

Before Your First Visit
Getting aquainted with the Gershfeld Family Dental webiste and submitting an appointment requiest and completing a New Patient Form will help us to get to know you before your first visit. Doing this in advance and at your convenience will save some time and shorten the time you spend at the office and ensure that the doctor has all of the needed information to provide the best possible care for you. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our About page and familiarize yourself with our doctors and supporting personnel. Here, you'll find all the practical information you need, such as a map and directions to our office, practice hours, patient froms, payment policies and more. We look forward to your first visit! 

Patient Center Shortcuts

  • New Patients
  • Insurance & Finance
  • Referral Program
  • Patient Education
  • Special Offers    
  • Reviews

Patient Forms

New Patient Form

New Patient Registration, Dental and Medical Health History, HIPAA Consent, Financial Policy

 

Orthodontic Patient Forms

Orthodontic Registration, HIPAA Consent

 

Child Patient Forms

Dental and Medical Health History, HIPAA Consent, Treatment Consent, Financial Policy

 

Consent for Treatment of Minor Child

Designation of Another Person to Consent for Treatment of Minor Child

 


Please print and fill out these forms so we can expedite your first visit:

Adobe Acrobat Reader DownloadIn order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

 

Driving Directions

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