Jeffrey C. Robertson, DDS.
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New Patients: (714) 908-7472 Existing Patients: (714) 838-7272
4940 Irvine Blvd #101, Irvine, CA 92620
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  • Home
  • About Us
    • Meet the Doctor
    • Meet the Team
    • Office Tour
  • Services
    • Cosmetic Dentistry
    • Dental Implants
    • Family Dentistry
    • Sleep Apnea and Snoring
    • Invisalign
    • General Dentistry
    • TMJ Treatment
    • Sedation Dentistry
    • Snoring Relief
    • Periodontal Care
  • Patient Info
    • Patient Forms
    • Finance & Insurance
    • FAQs
    • Technology
  • Success Stories
  • Smile Gallery
  • Blog
  • Contact Us
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New Patients : (714) 908-7472 Existing Patients : (714) 838-7272
Request An Appointment
Patient Forms
Jeffrey C. Robertson, DDS

Patient Forms

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To save time and for your convenience, please fill out your new patient forms online before your appointment!

New Patient (Adult)
New Patient (Child)
Sleep Disorder Form

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Jeffrey C. Robertson, DDS.
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Contact Us

New Patients : (714) 908-7472
Existing Patients : (714) 838-7272
4940 Irvine Blvd #101, Irvine, CA 92620
Request An Appointment

Office Hours

Monday – Thursday: 7:30 AM – 4:30 PM Friday – Sunday: By Appointment Only
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  • Home
  • About Us
    • Meet the Doctor
    • Meet the Team
    • Office Tour
  • Services
    • Cosmetic Dentistry
    • Dental Implants
    • Family Dentistry
    • Sleep Apnea and Snoring
    • Invisalign
    • General Dentistry
    • TMJ Treatment
    • Sedation Dentistry
    • Snoring Relief
    • Periodontal Care
  • Patient Info
    • Patient Forms
    • Finance & Insurance
    • FAQs
    • Technology
  • Success Stories
  • Smile Gallery
  • Blog
  • Contact Us
  • Request an Appointment
  • Accessibility Statement
  • Privacy Policy
  • Cookie Policy
  • Site Map
  • Cosmetic Dentistry
  • Dental Implants
  • Family Dentistry
  • Sleep Apnea and Snoring
  • Invisalign
  • General Dentistry
  • TMJ Treatment
  • Sedation Dentistry
  • Snoring Relief
  • Periodontal Care
  • New Patients:
  • Existing Patients: