Patient Forms

For your convenience, below are the Medical History and New Patient Forms. Please feel free to complete the following forms and bring them with you to your appointment! Please feel free to contact us if you have any questions. We look forward to meeting you!
Patient Forms
As you’re waiting for your dental appointment, our patients can connect to our free wifi. Enjoy surfing the web before a dental cleaning!

Request an Appointment

Fill out the form below and we will contact you during our working hours. If you have a dental emergency, please call 714-572-2363 to get the smile of your dreams