Patient Forms
Michael J. Spitzer, DDS
Today is the day to step forward into oral health and a confident, brighter smile.
If you are ready to work with our professional dental team to achieve the smile you have always dreamed of, or are looking for a comprehensive dental cleaning and examination, we invite you to contact the team at (949) 642-1670. We look forward to helping you smile brighter.
Thank you for choosing our office!
New Patient Packet
Thank you for choosing the office of Dr. Michael Spitzer for your oral and dental health care needs. If you have already booked an appointment, you may complete the New Patient Forms prior to your upcoming appointment via our secure patient portal.
Please use the button below to access the patient portal and complete your New Patient Intake Forms. Use the phone number or email address you provided to our office to sign-in and access your forms.
By completing your forms in advance, we will be able to expedite your first visit and minimize time spent in our waiting area. If you have any questions or did not receive a link to complete your New Patient Forms, please contact our office.
PATIENT FORMS
Required New Patient Forms include the following:
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Patient Registration and HIPAA Form
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Dental History Form
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Health History
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Dental Insurance Information Form
A healthy, confident smile starts here.
Address
Costa Mesa, CA 92627
Directions: Google Maps | Apple Maps
Phone & Fax
(949) 642-2019 fax
