Patient Form

The San Diego Dentist

Save Time in the Office!

The following forms are available for you to download now, and fill out at your leisure. Please use black ink to fill out the forms; you may then choose to bring the completed forms with you to your appointment, or fax them ahead to 858.578.2630

New Patient Info Form

Patient Medical History Form

Notice Privacy Practice

Additional Information

The following additional information is available to patients in Adobe PDF form:

The Facts About Fillings