Patient Information

Welcome to Donlevy, Estess and Lohiya Oral Surgery Group!

Our skilled surgeons and caring staff are here to offer top-tier surgical care tailored to your needs. Contact us today for your consultation and feel free to call us if you have any questions that are not answered below!

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New Patient Registration

If you are a new patient, please fill out the form below.

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Hermosa Beach Registration Form

Click here to fill out our online registration form and complete to send.

Culver City Registration Form

Click here to fill out our online registration form and complete to send.

Westchester Registration Form

Click here to fill out our online registration form and complete to send.

New Patient Checklist

Your first visit will consist of a consultation with one of our oral surgeons. We will take your medical history, review your x-rays and discuss your current oral health condition and needs. The doctor will evaluate this information and discuss a proposed treatment plan tailored to your individual condition.

Referral

Bring the referral from your doctor or other dentist, if applicable.

Current X-Ray

Bring a current x-ray taken within a year.

List of medications

Bring a list of all medications you are currently taking and have been taking recently.

Completed patient forms

Bring printed and signed patient forms you find above.

Post-Operative Instructions for Patients

Below you can find a list of post-operational instructions. Click the link to download the PDF:

English

Spanish

Surgical Appointment Short-Notice Cancellation Policy

If you must cancel your appointment, we respectfully request that you notify us no less than 24 hours prior to your scheduled appointment time. Missed appointments or appointments cancelled without 24-hour notice are subject to a $150.00 fee.

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