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Periodontics & Oral Surgery of Manhattan Beach
Dr. Caden Lim, DMD, MPH

Patient Forms

If you are a new patient to our office, the attached files contain our patient forms that will need to be filled out when you arrive at our office.  Printing, completing, and bringing them with you or faxing (310) 798-7191 or emailing perio.oralsurgerymb@gmail.com  them to our office will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Medical History - Please complete prior to your appointment.    

Medication List -  This form is very important to avoid interaction with any medications Dr. Wood may recommend for you and to minimize any risks to your health if you have or have had medical issues.     

Insurance Form - This will help us to file a claim on your behalf.    

 

Caden Lim, DMD, MPH 
Periodontics and Oral Surgery of Manhattan Beach
500 South Sepulveda Boulevard
Suite 306
Manhattan Beach, CA  90266      310-545-7079

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.