Patient Forms

Please print and fill out each one of the listed forms and bring it to your initial appointment.

New Patient Forms

Links

Patient Information

CareCredit

Health History

 

Medical History Update

 

Adobe Acrobat Reader

Dr. Mark Sakakura is a dentist providing dental procedures such as cleanings, dental crowns, teeth whitening, dental implants, and porcelain veneers in Los Angeles.
Dr. Mark Sakakura is licensed as a general dentist in the State of California.