Patient Forms

New Patient Forms

Your first visit to our office is designed to familiarize you with our dental practice and introduce you to our compassionate, caring team of dental professionals. We encourage questions and strive to always deliver the highest quality of dental care available.

Please take a moment prior to your scheduled appointment to print our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner.

We accept most insurance plans and major credit cards. For patients who require major work, payment plans are offered through are credit partners CareCredit, Wells Fargo and The Lending Club.  Thank you for the confidence you are placing in our office, we look forward to assisting you with all of your dental needs.

If you have any questions, please contact our office at (949) 727-0777. We look forward to meeting you!

Patient Info Form
Patient Dental History Form
Patient Medical History Form
Patient Informed Consent
Patient Health Questionnaire
Patient Financial Policy
Patient Snoring and Sleep Apnea
Patient Dental Material Fact Sheet

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