Pacific Crest Dental
400 Newport Center Drive
Suite 708
Newport Beach, CA 92660
949.640.2970
New Patient Information PDF Print E-mail


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.