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Please Click here to fill out forms electronically.

Our office is digital and the forms will be sent securely.  You will sign them digitally when you arrive for your appointment.

If you are unable to complete the forms online, please do the following:

1.  Print out and complete the "New Patient Registration" and "Medical & Dental History" forms below.  Email them to appt@carmelplazadental.com, fax them to (858) 675-0663 or bring them to the office on or before your appointment.  If they are not completed prior to your visit, you will need to fill them out on an iPad in our office.

 New_Patient_Registration_for_Carmel_Plaza_Dental.pdf

 Medical__Dental_History_Form_for_Carmel_Plaza_Dental.pdf

 2.  Print out and read the remaining 4 forms and keep them for your records.

Trifold_Office_Policy.pdf 

HMO_Disadvantages.pdf

HIPAA_notice_of_privacy_practices.pdf

Dental_Materials_Fact_Sheet.pdf