Patient Registration

Carey Pund our Treatment Coordinator.

Smile Advantage by Dr. Ali Shmara

4959 Arlington Ave., Ste A

Riverside, CA 92504

Riverside Office Phone Number 951-352-2227

www.riversidecosmeticdentist.com  

  
 
 

Patient Registration & Medical History

Please download our registration forms, complete at home, and bring them with you to your first appointment.

Notice of Privacy Practices

You may download a copy of our HIPAA Notice of Privacy Practices.

You will be asked to sign this HIPAA acknowledgement in the office.