Consent, Medical History, & Other Forms for Patients

  • Please be sure to scroll down on all forms; and many have more than one page.
  • Do not use a cellular device if you are filling out a web form, as the form may not be processed.
  • We will begin sending texts very soon but have not yet; if your appointment is within a month, you may not receive a text even if you select that as your preferred contact method.
Smilies Pediatric Dentistry
Smilies Pediatric Dentistry