Thank you for choosing A Shop for Smiles!
Here are your new patient forms:
Please use the following link below to securely fill out all of our new patient forms online at your convenience.
These forms will automatically be included in your file at our office without the need to use paper!
Please click on link below:
Please note we will review these forms in the office where you will be able to sign them personally.
Thank You!
Existing Patients
Hello and thank you for taking the time to update your Health History and Patient forms and information.
We are doing our best to not only go “paperless” but, to also keep all of your personal and medical information in a safe and secure area that can be accessed only by “securely logged in” members of our dental team to be sure you are taken care of and above all safe at all times during your dental care.
The more efficient we are at keeping your information up to date and secure, the smoother your visits will go, from medical history and drug interactions through to billing your treatment correctly. Your information is submitted over a secure connection through our forms provider and goes straight into your file at the office. If you would rather fill everything in when you arrive, just let us know.