Patient Registration

When you schedule your first visit, please let us know whether you will be using any dental insurance.


Most insurance accepted, but co-pay and deductible may apply. Contact our office to find out what plans we accept. We accept cash, check, and credit cards such as Master Card, Visa, or American Express. If you need extensive or long-term dental care, our office offers financing through Care Credit.


If you prefer to complete registration forms prior to the first visit, please print the following forms and bring them to office.

Patient Registration Form

Insurance Information Form


Appointment request
Need an appointment with a dentist in Santee ? Requesting an appointment at our Santee, CA family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments