The first visit to our Torrance Cosmetic & Family Dental Office is designed to get you better acquainted with all we offer as well as introduce you to Dr. Habermeyer and our caring staff. We encourage questions and do our best to always deliver quality care.
Please take a moment prior to your scheduled appointment to download our patient forms. 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.
New Patient Forms
- New Patient Health History & Insurance Information
- Office Procedures
- HIPAA Privacy Act
- HIPAA Privacy Act (Spanish)
- Notice of Privacy Practices
- Restrictions on Privacy Rule Agreement
- Personal Representative Medical Release Form
Additional Forms
Informed Consent for ZOOM!
Authorization for Release of Medical Information
Medical Release Form for Minors
Photo Release Form
Medical History Updates
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.