Patient Forms

For your convenience, we have provided our new patient forms below. Download and print these new patient forms and bring them to your first visit with our orthodontist, Dr. Rehana Khan, to speed up your first visit. We invite you to contact us at 310-393-3344 with any questions you may have regarding our patient forms and to set up your first appointment at Santa Monica Orthodontics. We look forward to providing you with excellent orthodontics in Santa Monica, California!

Patient Forms
New Patient Online Form

Stay Connected

1458 14th St., Ste. 100, Santa Monica, CA 90404

310-393-3344

DayHours
Monday9:00 a.m. - 5:00 p.m.
Tuesday9:00 a.m. - 5:00 p.m.
Wednesday9:00 a.m. - 5:00 p.m.
Thursday9:00 a.m. - 5:00 p.m.
Friday9:00 a.m. - 5:00 p.m.
SaturdayBy Appointment Only
SundayClosed