NEW PATIENT PACKET.
Welcome! If you are a new patient with Smiles for Kids Dentistry & Orthodontics we ask that you fill out the new patient packet before your first scheduled appointment and bring it it with you. This will help your first visit go smoother, as we will have all of the information we need to treat your child and eliminate waiting room time. Simply click the icon below to download the form to your computer, print it, fill it out at your leisure, and bring the completed packet your first appointment.DOWNLOAD FORM
NEW PATIENT PACKET (En Espanol).DOWNLOAD FORM
REFERRING DOCTORS.DOWNLOAD FORM
If you are a new family to Smiles for Kids Dentistry & Orthodontics or are now brining your other child or children there is no need to fill out the NEW PATIENT FORM on each child. We ask for one completed new patient form per family and one sibling form for each additional child. Simply click the link below to download the form to your computer, print it, fill it out and bring it with you on your scheduled visit.DOWNLOAD FORM
SEDATION CONSENT FORM.
If you have scheduled a visit in which your child will be sedated, this form gives you all of the information you need about our methods of sedation, permission to sedate your child, and all of the necessary information on what to expect and how to prepare. Simply click the link below to download the form to your computer, print it, fill it out and bring it with you on the day the procedure is scheduled.DOWNLOAD FORM
SEDATION CONSENT FORM (En Espanol).DOWNLOAD FORM
CONSENT TO AUTHORIZE TREATMENT.
If anyone other than the mother, father, or legal guardian of our patient brings him/her to our office for dental care or treatment we must have written authorization. This authorization form is required for reason pertaining to HIPAA, as well as the safety of your child. Your understanding and cooperation is greatly appreciated. Simply click the icon below to download the form to your computer, print it, fill it out at your leisure, and send it with the person bringing your child to the appointment.DOWNLOAD FORM