Patient Forms

For our records, we invite you to read, fill out, and submit new patient forms online! This system saves time and printing costs and gets into our system immediately. If you would rather, you can download and fill out the forms to bring them in at your appointment. For any questions, please contact AV Wellness Group. We want to ensure you have everything taken care of for your visit with our dentists in Lancaster Dr. Kafri, and Dr. Jenney.

 

Online Forms


Patient Information Forms

Financial Consent Form

Downloadable Forms


Patient Information Forms

Financial Consent Form

HIPAA Privacy Practices Form

Location

151 E Ave. J, Lancaster, CA 93535

Phone: (661) 942-1179

Office Hours

MON - TUE 8:00 am - 5:00 pm

WED 9:00 am - 6:00 pm

THU 8:00 am - 5:00 pm

FRI - SAT 8:00 am - 1:00 pm

SUN Closed

Get in Touch

Email: [email protected]

Phone: (661) 942-1179

Contact us

If you have any questions or concerns, you can contact us anytime. You can just call us or also fill the quick contact form below.