Patient Forms

Click on one of the links below to view a form.  Please print and fill out these forms and bring them with you to your first visit:



"I am very picky about who I allow to do my dental work. Dr. Pursuit was suggested through word of mouth and I'd like to pass it on...."

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Office Info

(310) 670-2646


8729 La Tijera Blvd
Los Angeles, California 90045

Office Hours:

Monday - 9am to 6pm
Tuesday - 9am to 6pm
Wednesday - 1pm to 9pm
Thursdays and Fridays (alternating) - 9am to 6pm