New Patient Forms

New Patient Forms and Online Forms

lnd_patient_formsDentist Solana Beach offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring them with you to your appointment.

New Dental Patient Form – Required

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!

Download & Print Form

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We will do our best to accommodate your busy schedule. Schedule an appointment today!

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Services

We provide comprehensive oral health care for all of our clients. Learn more about all the services we provide.

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Testimonial

“I had a great experience here with the friendly staff, informative Dentist, and state of the art equipment and procedures. I will be back for sure.”

– Robert B.

Read our Google Reviews

Solana Beach Smiles
Reviewed from Google

5 out of 5 stars

Gail
Gail

5 out of 5 stars

posted 4 months ago

I was visiting CA when I cracked a molar. Dr Jesse was able to get me in on short notice. His staff are so friendly and he and his staff are also very honest. My situation was a challenge which he met going above and beyond. I was so grateful to my daughter for recommending him!

Nathaniel Root
Nathaniel Root

5 out of 5 stars

posted 3 months ago

The staff at Solana Beach Smiles is always friendly and flexible with scheduling. Dr Patel is very personable and continuously checks-in on you during any procedure. Great place!

Ramona Broekema
Ramona Broekema

5 out of 5 stars

posted 3 months ago

The scary thought of an implant dissolved away with Doctor Jessy's skill and his caring staff. Dr. Jessy is everything you would want in a dentist, a perfectionist, an artist and yet he is personable and highly communicative.I highly recommend him!