Patient Forms

For your convenience, we have provided the following forms for you to print up and fill out prior to your first visit. Please bring the filled out forms with you when you come to our office.

  • Patient Information Form
  • Dental History Form
  • Medical History Form
  • HIPPA Form

Remember to arrive 15 minutes before your first dental visit in order to fill out your new patient forms if you haven’t already done so and to check in with us.

“We can’t wait to meet you!” — SmileOn Dentistry

Schedule An Appointment