DENTAL EMERGENCY, CALL: 949-496-5713
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Dental Patient Forms

We’ll need the information on the forms below prior to getting started. Please download the form, complete it and bring it to your first visit. If you are not able to complete these forms prior to your first visit, please arrive 10 minutes before your scheduled appointment.

The forms are PDFs and require you have Adobe Reader to open them. (Nearly all computers have this. If you cannot open the form, you can download it here: Adobe Reader.)

Patient Information

Patient Form

Informed Consent

Consent Form

Notice of Privacy

Privacy Form
Dana Point Smiles
General, Cosmetic, and Implant Dentistry
Dana Point Smiles
24655 La Plaza, #E
Dana Point, CA 92860

Phone: 949-496-5713

Email: [email protected]

Office Hours:
Monday – Thursday
8:30am to 5:00pm
Schedule Appointment ›

Dental services

Bone GraftingCosmetic DentistryDental EmergenciesDental ImplantsDentures
Fixed BridgesGeneral DentistryInvisalign Clear AlignersPorcelain VeneersRestoration CrownsRoot Canal TherapySedation DentistryTeeth WhiteningTMDTooth ExtractionsWisdom Teeth Removal

Dental specials

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Patient information

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About us

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