Below you will find all of the frequently used Patient Forms for our practice. You can take a look at any form and you may be asked to download and fill out a form when scheduling an appointment at any of The Smile Center offices. These forms all require the use or Adobe Acrobat Reader which can be downloaded by clicking the image at the bottom of the page.

Forms
New Patient Medical History Form	To save you some time, please fill this form out before arriving on your first visit
Consent for Minor Child	A consent form for treatment of your minor child
Consent for Tooth Extraction	Your consent of tooth extraction
Informed Consent of Endodontics	Informed Consent for Endodontic (Root Canal) Treatment
Prepay Plan
Prepay Plan Information	Information on our prepay dental plan (an alternative to dental insurance)
Prepay Plan Signup Form	Sign up form for our prepay dental plan (bring this filled form to your nearest smile center to join!)
Coupons
Introductory Coupon	If you are a new patient, print this coupon and save! A $100 value!