Daghlian Pediatric Dentistry & Sokolowski Orthodontics is pleased to offer our HIPAA Form here for your convenience. To help save you time during your initial visit with either of our dentists in Newport Beach, California, we invite you to print our form or fill it out online before your visit. If you have any questions or would like to set-up your appointment with Dr. Rita Daghlian or Dr. Paul Sokolowski, please do not hesitate to contact our office at 949-706-7006.

Online Form (Requires Google Chrome)

Printable Form

HIPAA Form