Dental Office | Benjamin T. Stevens, D.D.S. | Aliso Viejo, CA

As a new patient of Dr. Benjamin Stevens you will be treated with special care. Our goal is to get to know you, but more importantly, to discover what your idea is of the perfect dental experience.

To Save Time:
Please download the appropriate forms and bring completed copies of the respective forms to your appointment.

If you are a New Patient:

Patient Registration Form > click here to download

Medical History > click here to download

Personalized Esthetic Evaluation > click here to download

Financial Policy > click here to download

Note: You will need Adobe® Acrobat Reader to view and print out the forms which have been saved as .pdf files. If you do not have Adobe Acrobat reader, you can obtain a free copy through this link.

Please ask our receptionist to make your appointment today.
Same day appointments available for new patients.

Office Hours:
Monday - Thursday: 8:00 a.m. - 5:00 p.m. • Friday: 8:00 a.m. - 1:00 p.m.

We would appreciate it if you would take a few moments to answer the following questions. Please be assured that we do not share or sell personal information about you except when we have your permission.

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Name

Phone

Email Address

Comments / Questions

Appointment Time & Date

Please describe the nature of your appointment :