Patient Registration

Easy Online Registration for Valencia Dental Care Office Patients

Making a dental appointment with Dr. Zak Dental Care is extremely simple. Click on the link below to fill out the patient registration form, then wait for us to contact you to set up an official appointment.


A secure server is in place to protect your information. The SSL (secure server software) makes sure that your information is encrypted before it is sent.

Download Patients Forms for Dr. Zak Dental Care Office

The forms are all formatted as pdfs.  Click on the link below to fill them out and bring them with you to our office.

Because the forms are pdfs, you must install Adobe Acrobat Reader if you haven’t already in order to use them. If you haven’t installed it yet, please do so by clicking on the link Adobe Acrobat Reader

Call 661-253-0400 to make an appointment

or contact us using this form