New Patient Information

At Aliso Kids Dental & Orthodontics, your child's first appointment includes a thorough exam and gathering any information that our dentists must be aware of in order to provide care specifically to their oral health. We understand that all patients are different and require individualized care. 

Online Health History Form


New Patient Registration Form


Financial Responsibility Form


Notice of Privacy Practices


Pediatric Post-op Instructions





Insurance Accepted - ask us for which providers we accept.

  • Aetna PPO and DMO
  • Ameritas PPO
  • Anthem PPO
  • Assurant PPO
  • Beam Dental Insurance
  • Blue Cross PPO
  • Blue Shield PPO
  • Cigna PPO and HMO
  • Delta Dental PPO
  • Guardian PPO and DHMO
  • First Dental Health PPO and EPO
  • Netcare Life
  • Nippon Life
  • Metlife PPO
  • Premier Access PPO
  • Principal PPO
  • United Concordia PPO and DHMO / Tricare
  • United Healthcare PPO





We finance through Care Credit, ask us how







What Every Patient Can Expect

At our practice, every patient can expect to be treated with prompt service at their specified appointment time. Our patients can also look forward to a comfortable experience. We understand that visiting a new dentist can be stressful, which is why our practice works actively to accommodate all patients and alleviate any fears they may have about a new dentist or dentistry treatments. Familiarizing yourself with our practice, services, and our dentist is a great first step to creating a long term and comfortable experience with dentistry.