Patient Registration Forms

Simplifying the new-patient process for you.

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In an effort to speed up the registration process, we have included links to our patient information and medical history forms.  To fill these out at home, follow these steps for each of the forms: 

#1 Click on the link below. 

#2  Select "save" and save file to your computer. 

#3 Fill out the form on your computer and save the changes using the "save as" function.  Rename each file with your name, followed by a "1" for the patient registration form and a "2" for the medical history form. 

#4  You can print these out and bring them in with you, or you can attach them to an e-mail and send them to  shelli@allsmilesdds.net
. 




Click here for the patient registration form.


Click here for the medical history form.