Patient Forms

We have made it very easy for you to securely fill out forms online in the comfort of your own home or office. This will allow you to be seen in a timely manner at our office if this is done in advance.

We are an environmentally-friendly dental office that does not have physical charts or paper. We maintain a technologically-advanced paperless electronic dental chart.

Please fill out the form below to completion and email it to info@burbankdentalimplants.com

Medical Dental History

If you have ANY questions, please call us at 818-538-5718 or email info@burbankdentalimplants.com

Reference Materials Required by Law For Patients

1. dental materials facts sheet
2. HIPPA privacy form

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Ramsey A. Amin, DDS logo Schedule Your Appointment with Dr. Amin

This will give you an opportunity to visit our office, meet Dr. Amin, and find out if implants are right for you.

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Visit Our Office

Address
500 E. Olive Ave, Suite 520
Burbank, CA 91501

Phone: 818-538-5718

Hours
Mon: 9:00am - 6:00pm
Tues: 9:00am - 6:00pm
Wed: Closed Most Wed
Thurs: 9:00am - 6:00pm
Fri: 9:00am - 6:00pm


About Ramsey A. Amin, DDS

Dr. Ramsey Amin has extensive experience in surgical and restorative implant dentistry. As one of only less than 400 Diplomates of the American Board of Oral Implantology/ Implant Dentistry (ABOI/ID) he is considered an expert, and board-certified in dental implants. He is a former instructor at the UCLA School of Dentistry.