PLEASE COMPLETE YOUR NEW PATIENT FORMS
Prior to your visit to Advanced Smiles, please complete the appropriate form below for each patient. These electronic forms take about 10 minutes to complete and ask standard questions including contact information, insurance details, etc. (Child: 13 years or younger)
None of your personal details will be shared with anyone outside of Advanced Smiles without your express written permission.
DON’T MISS OUT ON OUR NEW PATIENT OFFERS!
“Yesterday I had my first exam at Advanced Smiles. I was really nervous because I had really let my dental cleaning schedule lapse. But everyone was really caring and genuinely non judgmental and got to work to get me back on track.”