Please ensure Javascript is enabled for purposes of website accessibility

Laguna Beach Dental Arts - Patient Forms

Printable Forms

For your convenience, you may download, print and fill out the following forms and bring them to your next appointment:

Patient Health History
Authorization Consent and Disclosure
HIPAA Check In

*These forms require Adobe Acrobat Reader. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.

Online Forms

You may access the following forms to assist us with your care. Please complete the following forms and click the submit button at the bottom of the form.

Adult New Patient Information (Coming Soon)
Child New Patient Information (Coming Soon)

Website Design and Internet Marketing byOptima