(949) 833-7888
 
 
 
   
 

Patient Forms

Please print out the forms below and fill out to bring in to your first appointment. Thank you and we are looking forward to seeing you soon.



Please download Adobe Acrobat below to view/print forms:

 


Irvine Pediatric Dentist - Patrick W. Lee, DDS
2500 Alton Parkway, #206, Irvine, CA 92606
ph: 949.833.7888 - fax: 949.833.7887

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