Patient Forms

Call 714-283-0815

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

For all patients, please complete the ADA COVID-19 Patient Screening Form before your appointment, you mail email the form or bring it with you to your appointment. 

 Thank you and please call our office if you have any questions.  

ADA COVID -19 Patient Screening Form



Financial & Appointment Agreement

Health History & Registration

How did you hear about us?

Oral Cancer Screening Consent Form

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We combine experience with the latest in dental technology to deliver the best patient experience possible.


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