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Services
Primary Care
Behavioral Health
Pediatrics
Women’s Health and Prenatal Care
Podiatry
Dental
Mobile Clinics
Transportation
Healthcare Team
Locations
Compton
East Long Beach
Gardena
Lynwood
Paramount
MCA Behavioral Health Center
ROADS Foundation, Inc. Headquarters
Patient Resources
Patient Forms
Dental Patient Forms
Patient Portal
Careers
Volunteer
Contact Us
Dental Patient Forms
English
Facts About Fillings (
Download
)
Pre-Dental Physical Evaluation (
Download
)
Patient Dental Treatment Consent Form (
Download
)
Notice of Privacy Practices (
Download
)
Authorization Form for Minors (
Download
)
Acknowledgment of Receipt (
Download
)
DOWNLOAD ALL (ENG)
Spanish
Evaluacion Pre-Dental Fisica (
Descarga
)
Formulario Consentimiento para el Tratamiento Dental del Paciente (
Descarga
)
Aviso de prácticas de privacidad (
Descarga
)
Forma Especial de Autorización de Menores (
Descarga
)
Reconocimiento de Recibo (
Descarga
)
DOWNLOAD ALL (SPAN)