patient forms

Smile With

Incredible results and inspiring journeys. See the transformation our patients have made, and hear the stories behind their smiles.

Patient Forms


Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Intake Form – Fill Out Online
  • Patient Intake Form (Child) – PDF | DOC
  • Patient Intake Form (Adult) – PDF | DOC
  • Privacy Agreement – PDF

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