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(951) 444-9979

Our Corona, CA Office

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iSmiles Braces

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Online Forms

patient forms  Corona, CA
At iSmiles Braces, we offer patient forms online so you can complete them in the convenience of your own home or office.

  • Adult Medical History Form
  • Adult Medical History Form (Spanish)
  • Child Medical History Form
  • Child Medical History Form (Spanish)
  • Health History Update
  • iCat Consent Form
  • Referral Form
  • HIPPA Acknowledgement
  • Informed Consent

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  • Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.
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Hours

Monday-Friday 9-6 pm
Saturday – By Appointment Only
Holidays – By Appointment Only

Contact Us

490 North Main St, Suite 101
Corona, CA 92878

Phone: (951) 444-9979

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