Forms to Fill Out Prior to Your First Visit

We are excited you have made your first appointment with one of our SmileCare offices.  We know your time is valuable, so we have the links below for PDF forms that you can print out ahead of time and fill out. If you fill them out before your first visit and bring them in, you will save a lot of time in our office and we can get right to your consultation.

If you have questions while filling out the forms, please feel free to call our Patient Support Representative at 1-800-327-6453 (1-800-32-SMILE).

The forms below are in PDF format.  You will need the free Adobe Acrobat Reader to view them. If you do not have the reader, you may download it here.

• Medical History 
• Medical History - Spanish 
• Patient Consent Form
• Patient Information
• Patient Information - Spanish