All Smiles Dental - New Patient Forms

Please click on the link below to fill out all 5 forms before submitting it. Click NEXT to go to the next form. Please make sure you select Yes or No for each medical condition on the Medical Condition Form.

You may skip the insurance section if you have provided it to our office.

NEW PATIENT FORMS

DENTAL RECORD RELEASE FORM

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.

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