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    • Your First Visit
    • Financial Info
    • Patient Forms
    • Patient Rewards
  • About Us
    • Meet Your Doctors
  • Treatments
    • Orthodontics for All Ages
    • Braces & Aligner Care
  • Contact Us
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    • Anaheim Office
    • El Monte Office
    • Huntington Park Office
    • Lawndale Office
    • Los Angeles Office
    • Santa Ana Office
    • Whittier Office
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Patient Portal 844-757-9799 844-757-9799 Free Consult
  • New Patients
    • Your First Visit
    • Financial Info
    • Patient Forms
    • Patient Rewards
  • About Us
    • Meet Your Doctors
  • Treatments
    • Orthodontics for All Ages
    • Braces & Aligner Care
  • Contact Us
    • Free Consult
    • Anaheim Office
    • El Monte Office
    • Huntington Park Office
    • Lawndale Office
    • Los Angeles Office
    • Santa Ana Office
    • Whittier Office
Free Consult
  • Patient Portal
    • Anaheim
    • El Monte
    • Huntington Park
    • Lawndale
    • Los Angeles
    • Santa Ana
    • Whittier
  • 7 Locations
    • Anaheim
    • El Monte
    • Huntington Park
    • Lawndale
    • Los Angeles
    • Santa Ana
    • Whittier

Patient Forms

Save Time at Your First Visit

Please take a minute to print and fill out the patient information form before your first appointment. If you’re unable to open PDF files, you can get Adobe Reader® for free.

Patient Form
(English)
Patient Form
(Spanish)
Dr. Lili & Associates map
1 1
anaheim
2551 W Ball Rd
Anaheim, CA 92804
2 2
el monte
11008 Main Street, Suite 203
(formerly "Valley Mall")
El Monte, CA 91731
3 3
huntington park
7925 Seville Ave
Huntington Park, CA 90255
4 4
lawndale
15106 Hawthorne Blvd
Lawndale, CA 90260
5 5
los angeles
2368 W Pico Blvd
Los Angeles, CA 90006
6 6
santa ana
2030 N Tustin Ave
Santa Ana, CA 92705
7 7
Whittier
13940 Lambert Rd
Whittier, CA 90605
Dr. Lili & Associates logo

844-757-9799

  • Anaheim
  • El Monte
  • Huntington Park
  • Lawndale
  • Los Angeles
  • Santa Ana
  • Whittier

Start With a Free Consultation

Gain more confidence and start your smile story with a free consultation at Dr. Lili & Associates. Fill out this form and hear back from our office to schedule your visit to our offices in Anaheim, El Monte, Huntington Park, Lawndale, Los Angeles, Santa Ana, and Whittier.

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