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Call Anytime! 866-989-1335 We're Open 365 Days a Year

Euclid New Patient Form

Please Complete our New Patient Form

For your convenience, using our online patient questionnaire will save 30 minutes of wait time at your first appointment.
If you have any concerns while completing this questionnaire, please give us a call at 714-772-2893

We look forward to seeing you.

General Practice

Please select one of the following language options convenient to you if have scheduled an appointment with our General Practice.

Get English Patient Form Get Spanish Patient Form

Specialist

Please select one of the following language options convenient to you if have scheduled an appointment with our specialists. Such as: a Pedodontist, Periodontist, Endodontist, Orthodontist, Oral Surgeon.

Get English Patient Form Get Spanish Patient Form

Existing Patients

if it’s been 1 year since you have last updated your paperwork, please click on this link to update your information. Doing so will speed up your wait time up to 15 minutes. For kids under the age of 18, we request that their information be updated every 6 months

Existing Patients

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