patient forms

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

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!

© 2018 by All Smiles Dental Care, L.C,

All Rights Reserved.


Monday - Friday 7:00am - 3:00pm

Contact Us

All Smiles Dental Care

201 West 2nd Street

Minneapolis, KS 67467


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