Patient Forms


Thank you for scheduling your first appointment with Fountain Valley Dental!

Please click on the link below to print and fill out our New Patient Forms. Which includes, New Patient Registration, Medical Health History, Reserved Appointment Agreement Authorization for Release of Dental Records and X-rays, Authorization & Disclosure (HIPAA). Completing these simple forms in advance and bringing them with you to your appointment could save you extra time and hassle when you arrive.

We look forward to seeing you!

-Fountain Valley Dental team

New Patient Form