Helpful Forms

If you're a new patient, please complete the following form and bring it to your first visit to our dentist office.

Patient Information Form
Dental Health History Form
Confidential Health History Form

If you would like us to coordinate with another dental clinic to request x-rays, please complete this form:

X-Ray Release Form
HIPAA Authorization Form

Note: To download Adobe Acrobat Reader for free, click here

Randall Gordon, D.M.D.

Address

11600 Wilshire Boulevard Suite 318,
Los Angeles, CA 90025

Business Hours

Monday  

9:00 am - 7:00 pm

Tuesday  

12:00 pm - 7:00 pm

Wednesday  

9:00 am - 5:00 pm

Thursday  

9:00 am - 5:00 pm

Friday  

Closed

Saturday  

Closed

Sunday  

Closed