New Patient Forms
When you visit us for your first appointment we will need some information on your dental and medical history. To help speed things along when you arrive, our New Patient Forms are available below.
Please click the link below to download and print the necessary forms. Then complete the information, and bring the completed forms to your appointment:
These forms are available as PDF files to view and print. If you are unable to view or print, please call us at 888-Smile-10 and we will mail you the forms. You can also plan to arrive a little early to your first appointment to fill them out.
We look forward to welcoming you to our practice and serving the needs of you and your family for years to come.
- No insurance, no problem – dental discount plans available
*The new patient promise, especially patient wait times, are guaranteed under normal operating conditions. emergencies, and conditions beyond our control, can occur that may affect our schedule. In cases such as these we will do everything we can to notify patients in advance, and make any additional wait time as brief as possible.
New Patient FormsThe Simply Beautiful Smiles experience goes above and beyond.
- 5-minute or less wait-time
- Same-day new patient and emergency appointments
- Complete insurance benefit analysis, so you know what’s covered
- Automatic file transfer from previous provider
- No insurance, no problem – dental discount plans available
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