PATIENT FORMS

Please fill out this form if asked by our helpful Huntington Beach team.

Child Health History Form

girl smiling
Your First Visit at Surf City Smiles

Adult Health History Form

SCHEDULE A CONSULTATION

Address

10172 Adams Ave, Huntington Beach, CA 92646

Contact

Hello@surfcitysmiles.com
714-465-5065

Hours:

Monday: 10:00 – 7:00 pm
Tuesday:  8:00 – 5:00 pm
Friday:  7:00 – 4:00 pm
Saturday: 9:00 – 2:00 pm

(Days vary weekly)

Ph: 714-465-5065