Patient Registration
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
English Patient Registration (click here)
Español Patient Registration (click here)
Note to Patient: Upon filling out your first name, last name, email and at least one phone number field (a valid home or cell phone) a button will appear in the upper right corner titled "Save and Exit" . This button allows you to save and exit your form to complete at a later date. The system will send a registration email to the email provided on the form, so that you may setup a login to go back and finalize your registration form online.
English Consent Form
English Consent Form (click here)
Español Consent Form
(562) 904-1807 / 8109 2nd street, SUITE 100, downey, CA 90241
Meet Dr. Molina
Dr. Molina is a Downey, CA-based Endodontist who places a lot of importance on community. She has a history of giving her time, energy and resources to organizations and causes that extend beyond dental care.For starters, she helped found the Marco A. Firebaugh Dental Clinic, which provided complimentary dental care to low-income residents in southeast Los Angeles. Dr. Molina takes part in numerous community health fairs throughout Southern California where children are given free dental exams. She encourages kids to do well in school and pursue their dreams, just as she did.Dr. Molina is a founding member of the Salvadoran American Leadership and Educational Fund (SALEF) and was a volunteer dentist for Clinica Monsignor Romero, a nonprofit community health center. Dr. Molina has been the Legislative Committee Chairperson of the Los Angeles Dental Society and a House Delegate of the California Dental Association.In addition to helping so many people in our Southern California communities, Dr. Molina’s efforts have resulted in several awards and acknowledgements from TV giants Univision and Telemundo as well as the City of Los Angeles and the UCLA School of Dentistry’s Department of Endodontics, to name a few.Her training, skill, professionalism and compassion are evident in everything we do for our patients at Molina Endodontics. Those qualities are evident in all the patients she has helped with endodontic care right here in Downey, CA.
