Patient Forms

Call 714-283-0815

If you are a new patient to our office, please complete all of the forms listed below before your appointment. By completing these forms before your appointment it will allow us to attend to your medical needs more efficiently.  

You can email the forms to us, smile-studio@hotmail.com or bring them with you to your appointment. 

Please contact our office if you have any questions. 

Thank you!

How did you hear about us?

HEALTH HISTORY AND REGISTRATION

Consent

Financial & Appointment Agreement

HIPAA

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