Patient Forms

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

New Patient Forms


Patient Information


Health History


Medical History Update


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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.