General Dentistry |  Dental Implants |  Cosmetic Dentistry

Dial 714-846-4414 to make an appointment

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Our Mailing Address
Harbour Landing Dental
4911 Warner Ave Suite 202
Huntington Beach, CA 92649
714.846.4414
Hours of Operation
Work hours:
Mon - Thurs 8am - 5pm
Fri 8am - 12pm
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Download the new patient form

This form is required for all new patients coming to Harbour Landing Dental.  If your are a new patient, please fill out this form so we may provide the proper treatment and have access to any special requirements or conditions that you may have. 

One form is required for each person, so if you have a family of 3, you will need to fill out 3 forms.

Patient Form   Patient Form

You can access the form and type directly into it using Access Form.  Or you can download the form and print it, and then fill them out by hand.


Adobe Reader is required

Are you having trouble accessing the form?

Adobe Reader Version 8.1 and up contains new features that allows you to type directly into the form, and then print it.  Previous versions of Adobe Reader do not support this feature.

You will need Adobe Reader installed on your computer in order to complete the form.  If you do not have Adobe Reader Installed, you can click below to download the program direct from Adobe.

Get Acrobat 


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We've been in the Genreal Dentistry business in Orange County for over 15 years, and were located in Huntingtin Beach California. Were just a short drive from PCH and the 405 Freeway.

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