Whitin' Your Smile

New Patients

 

Below you will find the forms you will need for your first visit with us. To print these forms just click on the link below. The file will download.  Just click on print and fill out the form and bring it with you on your first visit.


Please assist us by arriving 15 minutes early and providing the following information at the time of your first visit:

* New patient form completed

*A list of any medications you are taking along with any drug allergies

*If you have dental insurance, please bring your insurance card and any necessary information to save  time and allow us to help you process any claims.

*Any recent x-rays


New_Patient_Form.doc 

HIPAA.doc 



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