Patient Information

If you are a new patient to our La Mirada office, the links below contain our new patient forms that will need to be filled out when you arrive at our office.  If you bring the forms to our office completed, it will allow us to attend to you more quickly.

Thank you and please call our office if you have any questions or concerns.

Patient Forms 

Patient Information

Medical/Dental History

Formaspara los pacientes en Español

La informacion del pacientes

Historial Medico/Dental

Smile Works

15018 La Mirada Blvd
La Mirada, CA 90638


(714) 521-6827

Dental Benefits and Insurance 

We strongly believe you shouldn’t have to worry about what your insurance covers or deal with financial barriers to obtain the proper treatment of care. We offer a variety of payment options including payment plans for costs beyond your benefits. 

We accept most major dental PPO plans and Medi-Cal/ CalOptima. Please contact our office to find out how your benefits can best be utilized for your dental needs.

Reach out to our office to schedule an appointment today!

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