Call or Text
Visit Our Office
1122 N Brand Blvd Suite 202 Glendale, CA 91202
Call or Text
+1 818.244.7215
Open Hours
Open Hours
Mon, Wed, Thur - 8am-6pm
Tues - 8am - 7pm
Fri - 8am - 4pm
Sat by Appointment only

Patient Portal

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

New Patient Registration

New Patient Form

Patient’s Notice of Privacy Practices

NOPP

Patient’s Authorization and Acknowledgment Agreement

HiPAA

If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

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Glendale Office
1122 N Brand Blvd Suite 202,
Glendale, CA 91202
Phone : +1-818-244-7215

Moorpark Office
484 E. Los Angeles Ave #210
Moorpark, CA 93021
Phone : +1-805-532-1101

E-mail : smile@northbranddental.com

Opening hours
M, W, TH – 8am – 6pm
Tues – 8am – 6pm
Fri – 8am – 4pm
Sat by Appointment only