All About Smiles Family Dentistry offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Bring them with you to your appointment.

New Patient Medical History Form

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!

Download & Print Form

New Patient Insurance Form

This form is for patients who have medical insurance policy.  If you have any questions about this form please call our office!

Download & Print Form

Dental Records/X-Ray Request Form

This is a request for copies of your previous dental records and x-rays if you are coming to our office for the first time.  If you have any questions please give us a call!

Financial Policy

Please read over our Financial Policy.  There is no need to print out this page, as it is for review only.  We look forward to discussing your personal dental financing options with you when you arrive.  Whether you have dental insurance or are interested in CareCredit we would like to make sure you understand your benefits.  Thank you!

Download for Reading Only

HIPAA Privacy Policy

Please read over this Patient Information Page about our HIPAA Privacy Policy.  There is no need to print out this page, as it is for review only.  Thank you!

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