(949) 240-6888
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Patient Forms
New Patient Forms
Filling out your paperwork before you arrive keeps your first visit on schedule. Our forms are available in both English and Spanish.
Which forms you need
New patients complete two forms before their first appointment: a new patient form and a health history form. Both are available in English and Spanish.
If you have any questions about the forms, contact us online or call our office at (949) 240-6888 and our patient care coordinator will be happy to assist you.
Before your first visit
A few things that help your appointment go smoothly.
Bring your insurance information
Have your dental insurance details with you so we can verify your benefits and explain your coverage before treatment.
Forms in English and Spanish
Our team speaks English, Spanish and Farsi, and our new patient paperwork is available in English and Spanish.
Questions? Call us
Call (949) 240-6888 Monday to Friday, 9:00 AM to 6:00 PM and we will walk you through anything you are unsure about.
Ready for your first visit?
Send in your forms, then book a time that works for you at 31952 Camino Capistrano, Suite C16 in San Juan Capistrano.
