New Patients

New Patients - San Juan Family Dentistry, San Juan Capistrano Dentist

Click to download our new patient forms:

Patient Information


Confidential Health History


HIPPA Compliance Consent Form


Acknowledgement of Receipt of Dental Materials Fact Sheet and Privacy Practices


Dental Materials Fact Sheet


Notice of Privacy Practices for PHI




Payment Options

For your convenience, we accept most insurance plans, cash, personal checks, money orders, and most major credit cards.

We also offer CareCredit financing options. Please contact our office for more information, we look forward to serving you.