Forms

 New Patient Forms - Mehta Dental Group 

The first visit to our office is designed to get you better acquainted with all we offer as well as introduce you to the Doctor and our caring staff. We encourage questions and do our best to always deliver quality care. Please take a moment prior to your scheduled appointment to download our patient forms. We ask that you complete the forms and bring them with you to your appointment so we may better assist you in a timely manner. Thank you for your confidence in our office, we look forward to assisting you with all your dental needs. 

Save TIME on your first visit!  Please click on the PDF link below .  Print, fill out the form and bring it to your first appointment!!

ENGLISH FORMS

1. New Patient Information
2. Confidential Health History
3. Dental Health History

SPANISH FORMS

1. Informacion Para Pacientes Nuevo
2. Historia Medica Confidencial
3. Historia Dentales


Our Offices


Brea

200 E Imperial Hwy,
Brea, CA 92821
(714) 671-9999
Get Directions

Tustin

740 El Camino Real, Suite 200,
Tustin, CA 92780
(714)838-3230
Get Directions

Los Alamitos

10900 Los Alamitos Blvd, Suite 133,
Los Alamitos, CA 90720
(562)596-8888
Get Directions

Pico Rivera

9514 Whittier Blvd,
Pico Rivera, CA 90660
(562)942-2345
Get Directions

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.

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Dr. Mehta and Associates are professionals dedicated to Excellence in General, Family & Cosmetic Dentistry such as Dental Makeovers, Porcelain Veneers, Teeth Whitening, Implants, Crowns/Caps & many other dental procedures. Please come and visit one of our 4 practices. We look forward to taking care of you and your family.