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Patient Information

Adult History Form

The benefits of a happy, healthy smile are immeasurable! Our goal is to help you reach and maintain maximum oral health. Please print and fill out this form completely and bring it with you to your appointment. The better we communicate, the better we can care for you.

Child History Form

We would like to welcome you and your child to our office. Our goal is to make every child’s visit pleasant and educational. Our practice is based on preventative care. We strive to teach good oral care that will enable your child to have a beautiful smile that lasts a lifetime. Please print and fill out this form completely and bring it with you to your child’s appointment.

FINANCIAL INFORMATION

At SmileMakers, we’ve made it easy for you and your family to receive the high-quality dental care.

  • Cash or Personal Checks
  • Care Credit
  • Visa, Mastercard, Discover, and American Express

Prepay Savings

Save 5% on your dental treatment when you pay in full prior to your first appointment. Amount deducted from the dental fees you pay personally, not amount due from insurance companies.

Financing Your Dental Care

If you’re looking to finance your dental treatments, the friendly staff at SmileMakers can help you secure short-term, interest-free loans or extended payment plans with a fixed rate and no prepayment penalty.

DENTAL INSURANCE

SmileMakers accepts all major dental insurances. Our courteous staff is here to help answer all of your insurance questions. Contact us at 760-242-7800 with any questions you may have.

Note: We DO NOT accept IEHP, MediCAL, HMO.

COUPONS

We are always trying to find ways to help you and your family cut the cost of exceptional dental treatments. Take these coupons into either of our convenient locations and save today!

Existing Patient Special

New Patient Special

Zoom Whitening

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