New 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. Please print, complete, and bring them with you or fax at 310-798-7191 or email perio.oralsurgerymb@gmail.com  them to our office. It 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.

Patient Info  - Please complete prior to your appointment.    

Patient Medical -  This form let us know your medical past and current history.   

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

Caden Lim, DMD, MPH 
Periodontics and Oral Surgery of Manhattan Beach
500 South Sepulveda Boulevard
Suite 306
Manhattan Beach, CA  90266                                                                                                                                                                                                                Phone: 310-545-7079        Fax: 310-798-7191

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.