bests smiles forms
fill online and print

You can fill these forms out online and the print them prior to your visit at Best Smiles. That will help us make your visit as pleasant and efficient as possible.

for New Pediatric Patients

Pediatric Patient Registration Form

for New Pre & Teen Patients

Pre & Teen Patient Registration Form

for All Other New Patients

New Patient Registration Form

 

For All New Patients

Authorization to Release Health Care Information

For All New Patients

Acknowledgement of Receipt of Notice of Privacy Practices