Please fill out this form to send an email to our office, and one of our friendly staff will contact you to confirm your appointment
If you are a new patient, please print the form below, fill it out, and give it to our receptionist at the time of your appointment
We accept most PPO, HMO, and Medicare insurance plans. Please see below for a list of common insurances accepted by our practice. If you do not see your insurance carrier, please contact our office and one of our friendly staff will assist you.
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© 2018 by Laguna Hills Family Dentistry