(951) 678-4300

Patient Forms

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Everyone here at Wildomar Dental Care values your time. If you are new to our office, for faster service please read and fill out the forms below, and bring them with you on your first visit. We look forward to seeing you!

Medical History Form (English)

Medical History Form (Espanol)

Consent Form (English)

Consent Form (Espanol)

Contact Us

Wildomar Dental Care

32100 Clinton Keith Rd., Suite E
Wildomar, CA 92595

Open Monday - Thursday 9am to 6pm and Friday 9am to 1pm

Payment Options include check, most credits cards, and most dental insurance plans

Map & Directions