Patient Forms and Resources

Patient Forms

For the convenience of our new patients, we have made our new patient forms available online. Please click on the links below, print out the forms and fill them out at your convenience. When you come to your first dental appointment with Dr. Mirkhan, you can bring the forms in with you. We find that this feature saves our patients time during their in-office appointment, and it enables them to fill out the necessary patient forms on their own schedule.

To view the patient forms, please click on the links below:

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What Our Patients

Are Saying About Us
  • “I have never enjoyed going to the dentist until now and you will too.”

    Former Patient

  • “I shall always recommend her to all as the best dental physician, especially for persons who have the most challenging dental problems.”

    Former Patient

  • “Very proficient and professional.”

    Former Patient

  • “Pleasant & painless.”

    Former Patient

  • “Knowledgeable and kind and patient.”

    Former Patient

  • “I love my new teeth!”

    Former Patient

  • “I love her warm and friendly personality. Best of all, you’ll love the results on your teeth!”

    Former Patient

  • “ I left Dr. Mirkhan's office feeling relieved and comforted knowing that I would be in good hands. ”

    Former Patient

  • “Dr. Mirkhan was very kind and professional.”

    Former Patient

  • “I would highly recommend Dr. Mirkhan.”

    Former Patient

  • “my teeth look and feel better than they ever have.”

    Former Patient

  • “I will always be thankful that I have you to depend on for kind, skilled, professional and caring service and look forward to a long relationship with you and your staff.”

    Former Patient

  • “Personalized care and high level of care.”

    Former Patient

  • “The staff is always friendly and helpful.”

    Former Patient

  • “I think Dr. Roya Mirkhan is the best of the best in my book. ”

    Former Patient