5828 Adenmoor Avenue
Lakewood, CA 90713

Phone: (562) 867 2612
Fax: (562) 867 2053



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Forms

To speed up the check-in process during your first visit, please fill out the Patient Information Form and bring in to our office or mail to:

Dr. Marie Doulaverakis,
Orthodontist
Lakewood Dental Building
5828 Adenmoor Avenue
Lakewood, CA 90713

We reccomend to print out on your local computer, fill it out and bring to the office. Please double check all the important information you type in.

 

form Patient Information Form for an ADULT
formPatient Information Form a CHILD.

 

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