Encino Smile at 818-990-6659

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Patient Questionnaire and Health Forms

We are always looking for ways to improve your experience with us.   We have therefore created the following up-to-date form to help make your personal information process faster and more convenient.  Simply download the form below and print. It will take just a few minutes to complete at home. Please bring them with you to your first office visit.

NOTE: Call Dr. Reifman's Office at 818.990.6659 or submit any questions Online by Contacting Us

 

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"I now travel 2 hours each way from Palm Springs to Los Angeles for the opportunity to be in Dr. Reifman's care.  For the very first time in 53 years of life I actually look forward to my dentist visits, knowing that it will be painless and produce great, healthful results.  Dr. Reifman's expertise and knowledge in the field are absolutely top-notch!"   David S. - Palm Springs, CA

Testimonial