New Patient Forms

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our Irvine dental office and we will gladly send or fax them to you.

• New Patient Form
• HIPAA Privacy Practices Acknowledgment
• Local Anasthetic Consent Form
• Payment Options
• Questionnaire for Snoring

Download Adobe Acrobat Reader Now

Let our family take care of your family. Call our Irvine dental office to schedule a checkup, second opinion, or consultation with Dr. Cannon. Located in Irvine, our practice serves Tustin, Newport Beach, Lake Forest, Foothill Ranch, Mission Viejo, and Laguna Hills.