Forms &

At Corona Smile Shoppe, we value your time and aim to create seamless, stress-free appointments. That’s why we’re making it easy to access quality, patient-focused care with our digital forms. Simply fill out our digital forms from any smart device at your convenience and step into your appointment ready to go!

Digital forms coming soon!

New Patient Forms

Accepted Insurances

UHC (Humana)
Cigna DPPO Advantage
Careington Care PPO
United Concordia
Principal Financial
Delta Dental PPO

Third Party Lenders


Save with Our Membership Plan

Embedded in a community-centered, thoughtful approach to dentistry, it’s our goal to provide accessible, world-class care for all patients in Corona. With our affordable membership plan, you can enjoy a healthy, protected grin all year long and smile with confidence. Start saving and join today!

Explore Membership Benefits

Get Started with Our New Patient Special

There’s nothing we love more than meeting new faces! If you’re seeking a local, compassionate dental home in Corona, our team can’t wait to welcome you with our $99 New Patient Special! From a thorough polish and shine to a caries risk assessment, this special offer includes the preventive care you need to maintain a beautiful, strong smile.

Start Saving