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exceptional smiles for all ages

Patient Forms

 

Printing and filling out the appropriate form below before your first appointment enables you to gather in advance all the information and dates you may need to provide Dr. Willes with essential information for his best diagnosis.

It will also allow you to get to the exciting part of your appointment more quickly: learning what treatment options and amazing outcomes are in your future.

  • Health History Form (Child) PDF | DOC
  • Health History Form (Adult) PDF | DOC

If you’re unable to open PDF files, you can get Adobe Reader® for free.

Our Patients
love us

“As a dental hygienist in Carlsbad for thirteen years, my expectations are higher than most. The results I have seen on patients over the years as well as on my own children are five stars all the way around.
Thank you, Dr. Willes!”
Debbie, Carlsbad
“We have had four children benefit from the care and expertise of Dr. Willes and his staff. The people in the office really care about not just making beautiful smiles, but engaging and understanding their patients.” Jennifer, Oceanside
“Couldn’t ask for a better team. Always prompt and courteous, with great skills and service.” Richard, San Marcos
“Dr. Willes and his staff clearly love what they do. They are knowledgeable, genuine, and professional, and take pride in creating healthy, beautiful smiles.” Colleen, Carlsbad
“I love Dr. Willes and all the staff! I look forward to my regular visits because it’s like seeing family. My teeth are getting so straight, and I can hardly wait to see my forever smile!” Brandon, Vista
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