New Patient Forms
Welcome to Scripps Pediatric Dentistry! In order to make it easy for your first visit with us, you can fill out our new patient form electronically.
If you have any questions you can always call our office at: (858) 693-5677 and we’ll be more than happy to help you out. If you're not able to fill it out before the appointment, then please arrive 10-15 minutes before your child's appointment. Thank you!
All information is transmitted over a secure connection and will never be distributed or sold to any third parties. We are compliant and observe all HIPAA Regulations.