Lincoln New Patient Form

We are delighted to welcome you to our practice. We know you have many choices and are pleased that you chose us to serve your dental needs. We are looking forward to seeing you soon.

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 714-491-8600

We look forward to seeing you

New Patient Adult Forms for General Dentistry

Please select one of the following language options convenient to you.

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New Patient Child Forms for General Dentistry

Please select one of the following language options convenient to you if have scheduled an appointment with a General Dentist and not a Pediatric Specialist.

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New Patient Adult Forms for Dental Specialists

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

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New Patient Child Forms for Pediatric Dentistry

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

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For Any Dental Emergency: Call Immediately 866-989-1335
Our Emergency Dentist are ready to serve you

Our emergency dentist are available 7 days a week including weekends and holidays.
“We’re always here for you!”