Welcome to the Patient Forms section at Leila Zamiri DDS in Long Beach, CA.
Here, we offer easily accessible patient forms to ensure your visit is as efficient and comfortable as possible.
Our practice is dedicated to providing personalized care, so completing these forms helps us tailor your experience to meet your unique needs.

Complete Your Forms Online

Cherry Office:

Patient Forms

10th Street Office:

Patient Forms

Dental Fact Sheets


Download Dental Fact Sheet (English)


Download Dental Fact Sheet (Spanish)

Have questions about our forms? Connect with our team at
562-422-6868 or 562-438-2500.