Forms

Forms for Dr. Tran, Click Here

Forms for Dr. Tipton, Click Here

Please click on the desired PDF form, save it, click the right button to save to your computer.
We want to hear from you. Send a fax to (714) 374-1399
Huntington Beach office: (714) 374-8800
Anaheim office: (714) 772-5656

Adult Welcome form (Dr. Tipton and Dr. Tran, 2 pages)
Adult Welcome form 1
Adult Welcome form 2

Child Welcome form (for both doctors, Dr. Tran and Dr. Tipton)
Child Welcome form 1
Child Welcome form 2

Patient Consent form (for both doctors, Dr. Tran and Dr. Tipton, 2 pages)
Patient Consent form (front)
Patient Consent form (back)

Adult Welcome form (for Dr. Tipton’s patient only, Spanish, 2 pages)
Spanish Adult Welcome form 1
Spanish Adult Welcome form 2

Child Welcome form (for Dr. Tipton’s patient only, Spanish, 2 pages)
Spanish Child Welcome form 1
Spanish Child Welcome form 2

Orthodontic History form (for Dr. Tipton’s patient only)
Orthodontic History form

Financial form (for both doctors, Dr. Tran and Dr. Tipton)
Financial form

Privacy form (for both doctors, Dr. Tran and Dr. Tipton)
Privacy Practice Act

 

For New Patient Consultations, please phone, fax or email your insurance information at least one business day before your visit, so that we can estimate your out-of-pocket cost of treatment, and bring your insurance information to the office visit.

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