Patient Forms

Come and experience our professional team, where we have the confidence and kindness to treat you in a friendly, gentle, and compassionate manner. Our team is competent and efficient. We can take care of your oral health needs in as little as one visit. We value your time.

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Patient Registration Form

Medical History

Smile Evaluation

New Patient Questionnaire

The Epworth Sleepiness Scale

Call us today to schedule a free consultation

(619) 462-8550

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