Healthy Smiles Dental invites patients to download and complete these patient forms prior to their visit
When you visit Healthy Smiles Dental, you will be asked to complete our patient forms. Please allow enough time to complete these before your appointment. As an added convenience, feel free download and complete these forms prior to your visit and bring them with you. Thank you for choosing Healthy Smiles Dental. We look forward to serving you!
Healthy Smiles Dental Patient
Information and Health History Form .PDF
You can fill out this form and email it, then sign it when you come to the office, or you can print it out, sign the filled-in form and bring it with you. (This packet also includes the Healthy Smiles Dental privacy notice and a form to request transfer of patient records to Healthy Smiles Dental)