Patient Forms

Patient Forms

If you are a New Patient please visit our Patient Portal page and fill in the Health History and the Consent forms before your first visit to save time!

You can fill in and sign the forms from a tablet or even your phone or a computer

When you request an appointment you'll receive a confirmation email containing the link to fill in the forms, or call us at 949-425-1447 or email us at when you are ready to fill in the forms and we'll email you back a code valid for 24 hrs (for security purposes). Please send the email from the address that we have on file

We don't use paper for forms, everything is done on a touch screen tablet in a quick and easy process! Your info is auto populated in our system with no room for errors or omissions, in a HIPAA-compliant, secure software.

If you are an existing Patient and you need to update your Health History or sign additional forms please use the link below to log in

    We are partners with Care Credit. They offer financing plans with no interest up to 24 months!
    Find out more about this convenient way to have a beautiful smile today!

    Apply for CareCredit, afordable payment plans

    We have the friendliest and most cheerful Doctors and Staff!

    We have created a very relaxing and comforting atmosphere for our Patients whom we truly consider our extended family! We believe in treating each Patient with respect, careing for their overall health, giving personalized attention, warmth & honesty. We will giv eyou our honest opinion regarding your treatment, make sure it benefits your overall health and it's actually necessary. Our passionate team offers the best Dental Care in a fun, pleasant environment! We earned the reputation of being one of the best dentists in the vibrant community of Aliso Viejo!

    • Comfortable waiting room, we offer coffee, tea, water and free WIFI
    • If you didn't bring your own music, you can use our Pandora or TV apps enabled tablet and you get a brand new set of in-ear headphones to keep!
    • Digital X-Rays -that means instant, low radiation, and even lower for children!
    • We are responsibly recycling our bottles and cans, use only recycled paper throughout the office (from printing to paper towels and more), compostable, BPA-free coffee cups and "green" bio-degradable trash bags!
    • We use non-toxic materials and procedures, continuously improving, and have a holistic approach to dentistry
    • We are conveniently located in Aliso Viejo Town Center, We are an active member of the community and of Aliso Viejo Chamber Of Commerce
    • Learn more about our STAFF and our OFFICE