Patient Forms

We are looking forward to seeing you soon- below are links to our new patient forms: please print, fill out and bring to your appointment. No printer? No problem! We can send you forms to complete in the mail, we are also happy to provide the forms when you arrive- we do ask that you give yourself 15 minutes before your appointment time to complete your paperwork, which helps us stay on schedule and caring for our patients.

Patient Registration Form

Click Here to View / Print

Dental History Form

Click Here to View / Print

Confidental Health History Form

Click Here to View / Print

Receipt of Notice of Privacy

Click Here to View / Print

Are you ready to book your appointment?

Click on the link below or visit us in the Encinitas Village Shopping Center near Trader Joe’s. We look forward to seeing your smile!

Schedule Appointment