Patient Forms

For your convenience, patient forms are now available here on our website. Please download and fill out any necessary forms prior to your first office visit. You can also review the most recent privacy and financial policies, or use the medical history form to provide us with new and important details about any medical conditions that might impact your dental care. At Smiles by Design, we want to keep the time you spend in our waiting room to a minimum. Filling out these forms in advance will help make sure your visit is on time. If you have any questions about these forms, please call our office.

New Patient Paperwork 4-2017 – All your forms in one package, includes new patient information form, medical history, financial policy, privacy policy signature page and a release to transfer records from a previous dental office. You will also need to read the Privacy Policy.

NOTICE OF PRIVACY PRACTICES 2017

 

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