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Call: (714) 826-4640

Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Forms (Print & Complete All Forms Prior To First Office Visit) 

 

New Patient Forms (English)           New Patient Forms (Spanish)


 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Testimonials

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Hours

Mon: 9:00am - 6:00pm
Tues: 9:00am - 6:00pm
Wed: 9:00am - 6:00pm
Thur: 9:00am - 6:00pm
Fri: 9:00am - 6:00pm
Sat: Closed   
Sun: Closed
Contact Us

 4971   Orange Avenue
Cypress, California 90630
 Phone: (714) 826-4640
 dentalcarecypress@gmail.com