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(805) 308-6998
1933 Cliff Drive, Suite #8
Santa Barbara, CA 93109

New Patient Forms

Help Us Get To Know You!

Please take a moment and fill out our patient intake form. Download and print the pdf from the link below and bring the form with you to your first visit. If you are unable to fill these forms before your first visit please arrive 20 minutes early to your appointment so you can complete the forms on our office iPad. If you have any questions, feel free to contact our practice: (805) 308-6998.

  1. New Patient Packet

  2. Patient Privacy Policy

  3. Health Information Consent Form

  4. Dental Filling Materials Fact Sheet