Call today for a consultation (949) 643-3129
25500 Rancho Niguel Road Ste 260
Laguna Niguel, CA 92677
 
PATIENT INFORMATION
 
Patient Resources
Online Forms or Downloadable Forms
Current Patient Login
dentsit
 

Payment Options

We accept cash, check, Visa, Mastercard, Discover, American Express and CareCredit. Our team is always available to help you with your personal dental plan and can assist you as you decide on financing options. Call us today at (949) 643-3129.

Insurance

We accept all dental insurance plans that give you the freedom to choose your own dentist. Regardless of your plan, we will gladly file your dental claims and help you maximize your benefits. As a courtesy our insurance specialist can check your benefits before treatment begins. 

Office Brochures

 

Patient Online Forms

 

Downloadable Forms

 
  • Office Brochure
  • Dental Materials Fact Brochure
  •  
  • Patient Information Form
  • Medical & Dental History Form
  • HIPAA Consent Form
  • Dental Materials Fact Brochure
  • Consent for Internet Communications
  •  
  • Patient Information Form
  • Medical & Dental History Form
  • HIPAA Consent Form
  • Dental Materials Fact Brochure
  • Consent for Internet Communications

  • Online Forms: Please note, the forms require Windows Internet Explorer for proper viewing and processing. In addition, if there is more than a 30 second delay while filling out your form (if you should leave your computer unattended) the program will require you to start over. Please press F11 for full screen viewing.

    New Patients: For your convenience, we recommend that you complete the necessary forms online. If you prefer to print them, we have provided downloadable forms.

    Established Patients: We recommend that you update your medical dental history and patient information annually online

    Some forms require Adobe Acrobat Reader (for PC and Mac) or Foxit Reader (for PC) to view. If you do not have either, you may click the links below for a free download.

    Philip C. Gissel, DDS