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Our Online Forms are Coming Soon!

In the meantime you can download our PDF version and either print and bring to your appointment. 

Or you can email them back to: Staff@ScrippsPediatricDentistry.com 

NEW PATIENT DENTAL FORMS - NEEDED FOR YOUR FIRST VISIT

First off, let’s get the boring stuff out of the way. For your first visit, we will need information about you.

We have 2 forms, one to be filled out by one of your parent’s/guardian and one to be filled out by you! It’s not too complicated, you can either fill it out on our secure server or download the form and email it back to us! We’ve tried to make it as easy, breezy for you! If you need any help, just give us a ring, we’re here for you!

Fill out our new patient dental forms online, before your appointment at Brush n Brace in San Diego CA. A specialty office for teens. 

Do you have some pictures or x-rays you would like to send us before your visit? Click here to upload them to our secure server.