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New Patient Forms

At Dr. Trang Chesler’s Encinitas dental practice, we promise to make your dental experience as efficient as possible. For your convenience, new patient forms are available online for you to fill out and bring with you to your first appointment. This means less waiting, and more attention on what matters most: your dental experience. Let us know if there is anything else we can do to make your visit relaxing and comfortable. We look forward to seeing you!

Please click on the forms below, then click on the share button at the top, download the forms, print and fill them out.  Please bring in your completed New Patient Forms on the day of your dental appointment.  We look forward to seeing you soon!

Click the button below to open the New Patient Form.

When the form opens in your web browser you can complete it online, print it out and bring with you to your appointment.

Complete New Patient Forms