Patient Forms

(760) 375-3988

Preview our Patient Forms 

For your convenience, these patient forms are available online.  Forms can be printed and completed prior to your dental appointment or completed in office 15 minutes prior to your first dental visit.

Financial Policy

New Patient Form Page 1

New Patient Form Page 2

Signature Release for Insurance

Authorization for Photo and Video

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.



View More