Irvine Children's Dentistry

Pediatric Dentistry & Orthodontics

(949) 786-0800

New Patient Documents

No Insurance?
See our new patient specials below!

Under 3 is free!

(includes exam and cleaning if necessary)
TEXT “FREE” to (949) 786-0800

$150 kids ages 3-15

(includes exam, cleaning and x-rays)
TEXT “150” to (949) 786-0800

If you are a new patient, please text “New Patient” to (949) 786-0800 (or call this number) before filling out the forms so that we can conveniently assist you to make an appointment.

At Irvine Children’s Dentistry, we know that your time is valuable and our goal is to see you on time. Please help us provide you with the best service possible by completing the new patient forms online at least 48 hours prior to your appointment. Thank you for your cooperation!

New Patient Forms