Patient Forms

The first visit to the office is designed to get you better acquainted with all we offer as well as introducing you to the Doctor and our caring staff.  We encourage questions and always do our best to deliver quality care.  Please take a moment prior to your scheduled appointment to download our patient form.  We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner.  Thank you for your confidence in our office, we look forward to assisting you with all your dental needs.

Patient Forms

HIPPA Privacy Act

Medical History Forms

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Avenue of Smiles Dental Practice
Yan Fisher, DDS
Creating Beautiful Smiles


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Yan Fisher, DDS
Phone: 805-526-6100
2691 Tapo Canyon Rd., Suite C
Simi Valley, CA 93063

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