Dr. Erini P. Redmond DDS

181 Avenida Vaquero, Suite A,
San Clemente, CA 92672-3601
(949) 361-1124
 

Patient Forms

Help us get to know you!

Please take a moment and fill out our patient information form along with acknowledgement of receipt of Notice of Privacy Practices and bring with you to your appointment. If you have any questions along the way, feel free to contact our practice.

» Patient Form (Adult) PDF

» Patient Form (Child) PDF

» Acknowledgement of Receipt of Notice of Privacy Practices PDF

» Notice of Privacy Practices PDF
Please read and sign the Health Insurance Portability and Accountability Act of 1996.

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

We look forward to meeting you at your first appointment.

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