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!


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New Patient Information and Health History Form
J. Shahangian, DDS, MS, CLEC (858) MY-FLOSS (693-5677) Healthy Smiles & Happiness Start Here!
 

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