Patient Forms

Patient Dental Forms

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.


Patient Information
Responsible Party Information
Consent for Internet Communication
Consent for Language Interpretation
Medication Check List

Schedule An Appointment

Life Smiles Dental Care would love to meet you and your family
and provide you with the dental care you need and give you all smiles you deserve!

By Phone
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  • La Jolla
  • Chula Vista
  • El Cajon
  • 858-455-7777
  • 619-482-5555
  • 619-441-8000
Online
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schedule an appointment