744 E. Chapman Ave Orange, CA 92866 | Ph: 714-538-5582


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PATIENT FORMS

Kids Smiling - Pediatric Dentist in Orange, CA

New Patient Form

Financial Information Form

Notice of Privacy Practices Form

Pre-Anesthesia Instructions – English

Pre-Anesthesia Instructions – Spanish

Prosper Healthcare Lending is the premier financing company in the healthcare industry. With over $3 Billion borrowed and over 250,000 people empowered, this is a name and a program you can trust.

Here are some of the benefits you’ll receive with a loan from Prosper Healthcare Lending:

  • Immediate decisions for loans under $35,000
  • Longer terms for lower monthly payments
  • No collateral required
  • No prepayment penalties
  • Fast & easy loan inquiry process
  • 100% Confidential