Pacific Crest Dental

400 Newport Center Drive, Suite 708
Newport Beach, CA 92660

Phone:949.640.2970

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New Patient Information


For New Patients

 

Please download and complete the Health History & Registration form prior to your visit. Bring your copy with you and give it to our receptionist when you arrive.

New Patient Health History and Registration Form

If you are unable to download this form, please arrive 10 minutes prior to your visit to complete the form.

 

 

Transfer Records

 

If you have records from a previous dentist you would like transferred please complete the Dental Records Release form and bring it in on your next visit or fax it over to the transferring office.

Dental Records Release Form