Patient Forms

If you are a new patient to our office, the attached forms 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 contact our office if you have any questions.

• Patient Information Form
• Patient Health Information Form
• HIPPA Notice of Privacy Practices Form
• Patient Consent Form

 Contact Us

Office Address:

9330 Carmel Mountain Road, Suite A1
San Diego, CA 92129
Tel:  (858) 201-3577
Fax: (858) 201-3579
Email: info@smileartsdentalcare.com

Office Hours:

Monday-Saturday 8:00 am - 5:00 pm
  Evening and Sunday by Appointment