Patient Forms

San Diego Dentist – Medical and Dental History Forms:

IMPORTANT: PLEASE READ BEFORE PRINTING
Please download and save forms in order to open in PDF format.
The PDF forms can be filled out on your computer.
Print out form and sign.
Scan form and email to: marcosortegadds@mysandiegosmiles.com
You may also fax form to: 619-295-6575
Or, you can bring forms with you at your appointment time.

Dental History
Medical History
Confidential Information Questionnaire