patient forms

Adult Forms
Please print and fill out these forms so we can expedite your first visit:

• Patient Registration Form

• Medical History Form

• Office and Financial Policy Form

• Transfer of Records

• HIPAA Privacy

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Kids Forms (0-17 yrs)
At All Smiles, we want to make sure we get to know our patients before we start treatment on them. It is especially important to us that we do everything we can to make the dental office a cozy atmosphere for our pediatric patients! Please take a few minutes to fill out some information about your child to help us connect with them and make every dental experience a pleasant one. Thank you!

• Child Patient Registration Form

• Child Questionnaire

• Parent Guidelines