Early Morning, Evening, & Saturday Appointments Available!

Purple Vine Dental – Patient Forms in East Los Angeles, CA

Over 60,000 Smiles Transformed Since 1990

To save time during your initial visit to Purple Vine Dental, please take a moment to download, print, and fill out the new patient forms below. Please bring the completed forms with you to your appointment – we can’t wait to meet you!

Patient Form – Front

Patient Form – Back

Patient Form (Spanish) – Front

Patient Form (Spanish) – Back

Covid-19 Screening Form

Covid-19 Screening Form (Spanish)

As one of the premier dental practices in East Los Angeles, CA, our doctors and team at Purple Vine Dental also provide 5-star dental care to patients from Boyle Heights & Commerce, CA & the surrounding areas.

Your Top-Rated & New Favorite Dentists In East Los Angeles, CA

What To Expect On Your First Visit

Our world-class doctors look forward to discovering your goals and reaching them.

Meet Our World-Class Doctors

Discuss Your Goals & Dental Medical History

Thorough Exam With X-Rays As Needed

Review Your Options

Optional Discounted Cleaning