LOS ANGELES dentists

Call Us: (626) 793-4185
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Patient Forms

We want to welcome you to the Park Place Dental Care family!

We are glad that you are interested in becoming a patient of Dr. Robert Shimasaki and Dr. Karrie Chu’s Pasadena, CA dental practice. New patients are always welcome here. Everyone at Park Place Dental Care is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. Robert Shimasaki, Dr. Karrie Chu and the Park Place Dental Care team

 

Click below to download New Patient Registration Materials

Notice of Privacy Practices.pdf
Patient History.pdf
Patient Registration Form.pdf
Privacy Practices Acknowledgement.pdf