ONLINE FORM SUBMISSION BELOW:

Welcome to South Coast Metro Center for Dentistry & Implants. To ease your first visit to our office, please take a few minutes to fill out the necessary paperwork at the ease of our online applications. Please be sure to complete all necessary forms prior to your appointment. If you would prefer to print the forms and bring them with you to your appointment, please click the following links to open a PDF file to print the form.

NEW PATIENT INTAKE FORM  |  DENTAL & MEDICAL HEALTH HISTORY  |  HIPAA PATIENT CONSENT  

PATIENT FINANCIAL POLICY  |  PATIENT GENERAL CONSENT

Thank you and we look forward to seeing you soon and helping you "Find Your Smile and Brighten Your World". 

-- Your South Coast Metro Dentistry Team

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