Online New Patient Form | Dentist in Santa Barbara, CA

14 West Valerio Street, Suite C
Santa Barbara, CA 93101

call us today! 805-845-3240

Online New Patient Form

Please complete all of the following forms:

Patient Information and Medical History Payment Policies and Informed Consent Authorization HIPAA Notice of Privacy Practices HIPAA Release Form Financial Policy Form Office Payment Policies

let’s get your smile on!

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Our Smile Gallery

crooked pre-procedure teeth

strait post-procedure teeth

We love helping our patients have a reason to smile. That is why we record their fabulous transformations in our smile gallery!

Success Stories

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