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6635 Flanders Dr. Suite E, San Diego, CA 92121
Phone: (858) 457-4100
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Patient Forms

Existing Patient Portal Login
If you are an existing patient on record, please set up an account under Patient Login. Here, you can update medical information and transmit your update electronically to our office. Once registered, your username should be available within a couple hours.

New Patient Forms to Print

If you are a new patient at San Diego Dental Studio, it will help us for you to fill out the following forms before your first appointment. Arriving with pre-filled in forms will allow us to attend to your dental needs more quickly.

*Note: The following downloadable forms require Adobe Acrobat Reader to view and print. You can download your free version of Adobe Reader by clicking here.


New Patient Forms

Electronic Portal Login
If you are a new San Diego Dental Studio patient, please click on New Patient Questionnaires. There you can fill in your personal information, insurance information and health history information, then have your documents sent to our office electronically. Upon arrival to your first appointment, we will ask you to sign the documents we received.

Thank you in advance, and please call our office if you have any questions at all.


Gift Certificates

•  The following restrictions apply:
•  We provide custom bleaching trays and bleaching material-for a one-time enrollment fee of $99
•  The Patient cannot have any active tooth decay or periodontal disease
•  The Patient must stay current with recommended preventive hygiene visits (ex. 3 mo., 4 mo., 6 mo.)
•  Receive two whitening tubes per year for just being a loyal patient!
•  Patients provide at least 48-hours-notice about any need to cancel or change an appointment
•  Limited time offer for New Patients

New Patient Special
•  $159 New Patient Special: Includes x-rays, initial cleaning, comprehensive exam and photos. Does not include periodontal therapy (deep cleaning) if necessary due to periodontal disease.
Some restrictions may apply. - Contact our office.



"The staff at San Diego Dental Studio were so courteous and helpful to me during my visit to their office. Dr. Bierman was very kind and answered all my questions."






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San Diego Dental Studio | www.sandiegodentalstudio.com | (858) 457-4100
6635 Flanders Dr, Suite E, San Diego, CA 92121-2978



 

 

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