CONTACT INFORMATION
Phone: (714) 846-1414
Email: office@seabreezedental.com
Fax: (714) 846-8181
New Patient Forms |
|
If you will be visiting Sea Breeze Dental for the first time, you may save some time by coming prepared. Please see the list below for new patient forms |
|
| New Patient Form | If you have not been in Sea Breeze Dental before, please print out this form to fill it in. |
| HIPAA Info Form | HIPAA Info Form contains information on privacy practices in Sea Breeze Dental, You DO NOT have to print this form. |
| HIPAA Acknowledgment Form | Please read the HIPAA Info Form, listed above,before printing out and signing this form. |




