Patient Forms

Seaside Pediatric Dentistry and Orthodontics Patient Forms

Please take a minute to fill out the patient information form before your first appointment:

La Jolla Office

Scripps Ranch Office

Our Locations

10549 Scripps Ranch/ Poway Pkwy Suite E, San Diego, CA 92131

Phone: (858) 271-4200

Email: info@myseasidesmiles.com

Fax: 858-271-5040

  • MON8:00 am - 5:00 pm
  • TUE7:30 am - 4:30 pm
  • WED8:00 am - 5:00 pm
  • THU10:00 am - 6:30 pm
  • FRI7:30 am - 4:00 pm
  • SAT8:00 am - 1:00 pm
  • SUNClosed
Contact Us

875 Prospect St #202, La Jolla, CA 92037

Phone: (858) 551-9700

Email: info@myseasidesmiles.com

Fax: (858)551-9703

  • MON8:00 am - 5:00 pm
  • TUE7:30 am - 4:00 pm
  • WED - THU8:00 am - 5:00 pm
  • FRI7:30 am - 4:00 pm
  • SAT - SUNClosed
Contact Us