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New Patient Forms

Save 20 Minutes at Your First Appointment

Upon arrival to your first appointment at Smiles @ Southcenter, you will be asked to fill out a few quick forms. Therefore we always ask that you arrive about 20 minutes early to allow for some extra time to get these forms filled out before we begin treatment. If you have any questions about our new patient forms please give our office a call to get your questions answered prior to your appointment.

New Patient Intake Form

HIPAA Statement of Privacy Practices

HIPAA Acknowledgement

Complete Dental Care with State of the Art Technology

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