Forms Change Your Smile, Change Your Life

Patient Forms

For the convenience of our new patients, we have made our new patient forms available online. Please click on the links below, print out the forms and fill them out at your convenience. When you come to your first dental appointment with Dr. Mirkhan, you can bring the forms in with you. We find that this feature saves our patients time during their in-office appointment, and it enables them to fill out the necessary patient forms on their own schedule.

To view the patient forms, please click on the links below:

  • Scripps Memorial Hospital
  • Consumers' Research Council of America
  • American Dental Association
  • San Diego’s Peer Review
  • San Diego’s Top Dentists℠
  • America’s Best Dentists
  • American Board of Oral Implantology/Implant Dentist Diplomates
  • America’s Top Dentists™
  • Consumers’ Research Council of America

Patient Reviews

Opinions That Matter Most
  • “She and her staff has always been kind, sweet, caring, professional and honest with me. I recommend her often and want no one else to touch my mouth. Her skill coupled with her humanity make her an outstanding dentist.”

    - Former Patient
  • “Dr. Mirkhan was very kind and professional. She examined each tooth and explained every details. It was really good experience for the first complimentary consultation. I highly recommend her for the ...”

    - Former Patient
  • “Dr. Mirkhan, As always, you provided me with excellent service. Your assistant, Judy, is also very skilled and friendly. I will always be thankful that I have you to depend on for kind, skilled, ...”

    - Former Patient
  • “Dr Mirkham is very nice and professional. The staff is always friendly and helpful. Almost finished with the implants and all the procedures have been painless.”

    - Former Patient
  • “Md Mirkhan and Judi and Jasmine make dental visits enjoyable. I'm always greeted with a smile, Jasmine is so helpful. She works with my challenging schedule and can always answer insurance questions. ...”

    - Former Patient
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Why Choose Us?

Advanced Dentistry & Implant Center?
  • Same-Day Dental Care: One Team, One Office, One Appointment
  • "America's Top Dentists" by Consumers' Research Council of America
  • San Diego Top Doctors and Dentist Awards
  • Top Dentist Selected by a Peer Review

We're Ready To Help You

Schedule Your Appointment Today!
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