Endodontist Patient Forms & Appointment Preparation
Welcome to Molina Endodontics. We are dedicated to making your visit as smooth and stress-free as possible, starting before you walk through our doors. To help you prepare, please explore our online registration forms, checklist of what to bring, and insurance details.
Complete Your Patient Forms Online
Filling out your endodontist patient forms ahead of time helps us prepare for your appointment and reduces your time in the waiting room. Our forms are hosted on a secure online platform called TruForm. Simply choose the language you prefer, complete the registration, and submit — it only takes a few minutes.
English Registration Form
Click the link below to access the English patient registration form. You will be asked to provide your personal information, medical history, dental insurance details, and the reason for your visit.
Complete English Registration FormFormulario de Registro en Español
Haga clic en el enlace a continuación para completar el formulario de registro en español. Nuestro equipo habla español con fluidez y está listo para ayudarle.
Completar Formulario en EspañolWhat to Bring to Your Endodontic Appointment
To help your endodontic appointment preparation go smoothly, please bring the following items:
-
Valid photo ID (driver's license or government-issued ID)
-
Dental insurance card (if applicable)
-
Referral slip or notes from your general dentist
-
Any recent X-rays or records related to the tooth being treated
-
A list of current medications, including over-the-counter supplements
-
A list of known allergies
If you have questions about what to bring, our team is happy to help when you contact us.
Root Canal Consultation: What to Expect
We understand that visiting an endodontist for the first time can feel overwhelming. Knowing what happens during your root canal consultation may help ease any worry you have about the appointment.
Before Your Procedure
Dr. Sonia Molina will review your dental history, examine the affected tooth, and take any necessary imaging — including 3D CT scans or digital X-rays — to get a clear picture of the issue. She will explain your diagnosis in simple terms, walk you through the recommended treatment plan, and answer every question you have. If root canal therapy is recommended, Dr. Molina will discuss the procedure step by step so there are no surprises.
If you are experiencing severe pain and need urgent care, we offer same-day dental emergency appointments to provide relief as quickly as possible.
Sedation & Comfort Options
Your comfort is a priority at every stage of treatment. We offer a full range of sedation and comfort options, including nitrous oxide, oral sedation, IV sedation, and general anesthesia administered by a board-certified dental anesthesiologist on staff. During your consultation, we will discuss which option may be right for you based on your comfort level and medical history.
Insurance & Payment Information
Molina Endodontics participates in an extensive network of PPO dental insurance plans. Accepted carriers include Aetna, Anthem, Blue Cross Blue Shield, Cigna, Delta Dental, Guardian, Humana, MetLife, Principal Financial, UnitedHealthcare, United Concordia, and many others. We also accept CareCredit financing for patients who prefer a flexible payment plan.
For a full list of accepted plans and financing details, visit our Insurance & Financing page or call our office directly.
Call Us: (562) 904-1807Frequently Asked Questions
We look forward to welcoming you to Molina Endodontics. If you have any questions or need help preparing for your appointment, please reach out — we are here for you.
Contact usYou can complete your patient forms online using our secure TruForm system. Forms are available in both English and Spanish. Simply click the appropriate link above, fill in your details, and submit before your appointment. This helps our team prepare so you spend less time in the waiting room.
Please bring a valid photo ID, your dental insurance card, a list of current medications, and any X-rays or referral notes from your general dentist. If you completed your patient forms online, there is nothing additional to fill out when you arrive.
We accept a wide range of PPO dental insurance plans including Aetna, Delta Dental, Blue Cross Blue Shield, Cigna, MetLife, Guardian, Humana, UnitedHealthcare, and many others. CareCredit financing is also available. Call our office to verify your specific plan before your visit.
Yes. We provide a complete patient registration form in Spanish through our secure online system. Our team is fluent in both English and Spanish, so you can communicate comfortably throughout your entire visit.
Ready to schedule your appointment or have a question about your care?
Our team is here to help.