Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.

If you prefer to complete the forms Online and NOT print them out you can do so here.

Thank you and call our office at (949) 444-5310 if you have any questions at all.

Patient Forms ( Print & Complete All Forms Prior To First Office Visit)

adobe logo This web site uses files in Adobe Acrobat Portable Document Format adobe logo (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

I have been seeing Dr Lisa Butler for about 10 yrs now ,I just Love her, she's very personable, explains why Bio dentistry is the best way to keep our teeth, I see her in 2 weeks and actually excited about going !
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Debra F

Dr Lisa Butler is an amazingly talented dentist. She one of the best whom I have worked with and learned from. I highly recommend Dr B to anyone who is seeking holistic dentistry.
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Dr. Sundar J, DDS
Dr. Butler has put two implants in for me with great results.
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Chuck F

Hi Lisa, I'm so disappointed you are no longer in Napier to do the rest of my dental work. But all the best back in the US. You are the best dentist I've ever had. So I may need to earn enough money to come over and get the job finished.
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-Alan Petersen

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
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