You can access our patient forms below to streamline your registration with our practice. We keep your information safe and secure and provide online forms so that you can have a more efficient experience when visiting with Drs. Evans and Allen. We invite you to contact our office if you have questions or to schedule your visit to our dental office in La Mesa, California. We look forward to seeing you at Summit Dental of La Mesa!

New Patient Forms

Online Forms

New Patient / Adult Patient Forms New Patient / Child Patient Forms Doctor’s Sleep/TMD Referral Form

Printable Forms

Please fill out ALL four forms

Patient Information Medical History Sleep Screening HIPAA Privacy Policy

Sleep Apnea Forms

Printable Forms

Please fill out ALL five forms

Patient Information Medical History HIPAA Privacy Policy Sleep Questionnaire Dental Sleep Screening Form

Online Forms (Require Google Chrome)

Please fill out ALL four forms

Patient Information Medical History HIPAA Privacy Policy Sleep Questionnaire

TMD Forms

Printable Forms

Please fill out ALL five forms

New Patient Form Medical History HIPAA Privacy Policy TMJ Scale TMD Questionnaire

Online Forms (Require Google Chrome)

Please fill out ALL five forms

New Patient Form Medical History HIPAA Privacy Policy TMJ Scale TMD Questionnaire