Smile City Dental
Smile for Health, Smile for Life

Patient Registration Forms

Please download, print, and  fill-out our Patient Registration Forms. After you have completed them, please make sure to bring them on your first visit to our office. We look forward to helping you achieve a healthy and beautiful smile!

Health History Form .pdf   ( 2 Pages)

Smile City Dental Office and Financial Policy.pdf

Cancellation and Appointment Reminder Preferences.pdf

SCD Privacy Practices Notice.pdf  ( 2 Pages)

Technical Note:

You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system.


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