Printable Forms

h-smile3.jpgFor your convenience, you may download, print and complete the following forms. Please bring them to your next appointment:

Online Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of the form:


adobe

 

*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

**We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.