Patient Forms
We believe in providing the best service to our patients and want everyone to feel comfortable at our office. We respect everyone’s time and hence, we have created online patient forms, which can be filled up from the comfort of home. We will receive all the information needed and will be waiting for you completely prepared.
To help us process your insurance correctly, please fill out the forms completely and notify us of any change. All your information will be encrypted and protected as per rules laid down by HIPAA and OSHA.
You can click below buttons to download the forms, fill them up and then email them to us. If you are new to our office, please use the first button to download the combined forms. We will be happy to help if assistance is required.
Google Rating
Mohamed Ali, DDS
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a year ago
I recommend Dr. Ali and his staff with the highest regard.
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3 years ago
Dr. Ali is truly a top notch and dedicated dentist. He works very hard. He constantly improves and updates his office with … More a latest cutting edge technology. His office is like one stop shop. No need to go to different specialists for each procedure. Everything, from oral surgery to cosmetic procedures, can be done in his office with a highest quality and care. He is always on top of the industry updates. My husband and myself are still his patients for 11 years now and our 8 year-old child has recently joined us. Dr. Ali mainly works with adult patients, but we decided to introduce our daughter early enough so she could get maximum benefits for later life. We are very fortunate and appreciative by the services he provided. This is the only dentist our family can trust.
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2 years ago
The best dental clinic ever. The staff are good and . Dr Ali is super nice, very knowledgeable and very gentle. I strongly … More recommend Dr. Ali to anyone who has any kind of dental issues. Looking forward to having my tooth implant in a couple of months.
