Forms and Financing
Patient Resources
We know that life can be busy and that your time is valuable. At Blessed Smile, we’re committed to making your visit as smooth and stress-free as possible. Here you will find all the importance information that you need to get started — from patient forms to financing options.
New Patient Forms
To help streamline your first visit, we offer online patient forms you can complete when it’s convenient for you, and save yourself extra time in the waiting room
Our team is standing by to answer any questions you may have about filling out your forms or about our practice in general.
Need assistance? Give us a call at 714-579-8888 — we’re happy to help!


Payment & Insurance
The world of dental insurance can often be a confusing place, and deciding on the right practice that works with your plan can be difficult.
To make things easier for you, we are proud to accept most major PPO dental insurance plans. If you have any questions about your insurance, or how to maximize your benefits, give us a call at 714-579-8888 and one of our friendly team members would be happy to help you.
Flexible Financing Options
Quality dental care should be within reach for everyone. That’s why we partner with CareCredit, Lending Club, and Cherry Financing to create flexible payment plans that fit your oral health needs, your budget, and your lifestyle.

No Insurance? No Problem!
Join Our VIP Membership Club
Don’t have dental insurance? We’ve got you covered. Our Blessed Smile VIP Membership Club makes it easy to maintain your oral health without the hassle of deductibles, waiting periods, or surprise fees. For one simple annual fee, you’ll receive preventive care services and exclusive savings on most treatments — all with transparent, upfront pricing and no insurance headaches.


New Patient Special – Just $130
Welcome to Blessed Smile! To help you get started on your journey to a healthier smile, we’re offering a New Patient Special for only $130. Includes comprehensive exam, digital x-ray and consultation. New patients only. Not to be combined with other offers. Limit 1 per patient. Subject to insurance restrictions; cannot be applied to insurance co-payments.
Take advantage of this special offer and experience the personalized, compassionate care that sets Blessed Smile apart.
Call us today at 714-579-8888 to schedule your first visit!