1033 W. Arrow Highway
San Dimas, CA 91773

Patient Forms

In order to expedite our ability to serve you during your first visit to our office, you can download and fill out the attached Health History Form at home, and bring it with you to your first appointment. This form is vital to allow us to provide you with the appropriate care.

We offer this form in either English or Spanish versions for additional convenience.

Health History Form

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Formulario de Historial de Salud

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When the form open you will be able to print it. Please fill it out and bring it to the office or fax it to: Fax: (909) 447-7094

Why choose us?

Sunshine Smile Dental and Orthodontics is a family owned and operated dental clinic guided by the principles of its founder, Dr. Yanina Jouzy. Dr. Yanina Jouzy is Latina and Bi-Lingual in English and Spanish.
We are one of the most technologically advanced offices in the area. We have intra-oral cameras, which allow us to view your teeth on a flat-screen monitor directly in front of you, and digital X-rays which emit 90% less radiation than standard X-rays.
We are conveniently located in the San Dimas Plaza Shopping Center at 1033 W. Arrow Highway in the beautiful city of San Dimas, California. Click Here For Directions

Patient Testimonials