Patient Forms

Patient Forms

At HD Smile Modern Dentistry, we want to make sure that your visit with our dentist and team is easy and convenient and that it fits in with your busy schedule. We do that by performing our treatments in-house, but our commitment to you and your smile starts even before your appointment with Dr. Heba Zied. We have provided access to our new patient forms below, and you have the option of completing your paperwork before your visit and submitting it to our office electronically.

PATIENT FORM PATIENT SCREENING QUESTIONNAIRE COVID-19 CONSENT FORM

Completing your forms before your visit will not only decrease the time you spend waiting for your appointment but also give Dr. Zied the opportunity to review your medical history before your visit. If you would like to schedule your dental appointment in Hollywood, California, or if you need assistance filling out your forms, call our team at 323-464-2033 today.