Contact Us

We appreciate your interest in our practice. Please use the form to your right to contact us with questions or to schedule an appointment at our San Diego dental office. A team member will get back with you shortly!

Please note: The form on our website is not a secure form. Please do not submit personal medical information via this form. Thank you.

New Patient Form

New patients can access and print the New Patient Information Form below and bring the completed form in to your appointment to save time on your first visit! Forms are in PDF format.

Mark Griffiths,DDS - New Patient Form
Mark Griffiths,DDS - New Patient Form

If you do not have a .pdf viewer, click on the Adobe Logo for a FREE copy.

Click to download a FREE version of Adobe Reader.


Please note:  This form is not a secure form.  Please do not submit personal medical information via this form.  All medical questions will be answered by telephone. Thank you.
Mark Griffths, DDS - 3565 Fourth Avenue, San Diego, CA  92103 -  (619) 298-6257 - www.griffithssmiles.com
Creating Extraordinary Smiles with Cosmetic  Dentistry, Restorative Dentistry, and Sedation Dentistry throughout San Diego County (CA)
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