Patient Forms


 

Part of providing for our patients is making sure that their appointment with our dentist goes as smoothly as possible. Complete a form below and we can get your appointment with Dr. Eduardo Díaz underway, even before you step into our dental office in San Diego, California. If you have questions about North Park Smiles’s patient forms, phone us at 619-220-0548.

 

Registration Form

 

Medical History Simple

 

Financial Agreement

 

HIPAA

Featured Services

Family Dentistry

Laser Treatments

Braces

TMJ Treatment

Cosmetic Care

Dental Implants

Invisalign®

Sleep Apnea Treatment

Location
North Park Smiles
3638 El Cajon Blvd
North Park

San Diego, CA 92104
Phone: 619-320-1231
Fax: 619-220-8604
Office Hours

Get in touch

619-320-1231