PATIENT FORMS

To save time on your first visit, you may wish to fill out New Patient Form below ahead of time. Please be thorough with your Health History as many medications and conditions can modify ideal dental treatment and it is important for this to be established from the beginning.

For easy access, please put our office number in your phone:

• Phone: 951-542-1100
• Fax: 951-542-1100

For the convenience of our patients the Empire Foot and Ankle Center accepts Medicare, Most PPOs, Tricare West, IEHP, Alpha Care, Vantage, Workers Comp and Personal Injury.