Patient Forms

You may pre register with our office by filling out our secure online Patient Registration Form under your choice of office. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Westlake Office

Simi Valley Office

Westlake Laser & Medical Spa

Glendale Office

We have transformed thousands of lives.

Call us to learn how oral, facial and implant
surgery can enhance the quality of your life