An Atelier for the Smile
New patient forms
Download Dr. Kerri Hill's new patient forms and complete them before you arrive at her Beverly Hills practice so the full ninety minutes of your first consultation can go toward your care.
- 4.9 out of 5 stars from 147 Google reviews
- 25+ Years of experience
- One Patient at a time
New Patients
Six forms, completed at your own pace
If this is your first visit with Dr. Kerri Hill, the forms below cover your contact details, your dental history, and the practice's policies. Complete the ones that apply to your visit and print them at home, or fill them out in our office when you arrive. Either way works, and nothing here needs to be finished before you can book.
Questions before your appointment? Call or text us at (424) 355-0355.
Download & print
- Patient Information Form
Your contact details and dental history, giving Dr. Hill the full picture before your visit.
- HIPAA Acknowledgment Form
Our patient privacy practices, for your signature.
- Photo Release & Consent
Your preferences for any photographs taken during treatment.
- 48-Hour Cancellation Notice
Our appointment and cancellation policy.
- Patient Arbitration Agreement
Our dispute-resolution agreement.
- Patient Payment Resource
Our payment and financial policies.
Returning Your Forms
Two ways to get them to us
- Bring them to your visit
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Dr. Kerri Hill, 416 N Bedford Dr #409
Beverly Hills, CA 90210
Get directions (opens Google Maps in a new tab) - Call or text ahead
- (424) 355-0355 if you'd like to go over a form before your appointment, or if you haven't booked yet.
New to the practice? The consultation page explains what to expect at your first visit.
Our patient resources also cover financing and how to reach the office before you book.
The Invitation
Ready to schedule your first visit?
You can also call or text Dr. Kerri Hill's Beverly Hills office at (424) 355-0355 if you would rather book by phone.
One patient at a time · 90-minute first visit · Beverly Hills