Patient Registration Forms

Office Policies
Registration and Insurance
Medical and Dental History
Financial Policy
HIPPA Release
Notice of Privacy
Preventive Dental Procedure Consent

Please print and fill out the forms and bring them to your appointment. In addition, bring any insurance information you may have.

  • Grey Facebook Icon
  • Grey Twitter Icon
  • Grey Instagram Icon

© 2023 by We Smile. Proudly created with