If you are new to our office, welcome! Start by printing out forms 1-6, fill them out entirely, and sign and bring them with you to your first appointment in our office. You can even email them to us at office@familysmilespa.com.

Additional Forms

1. The Notice of Privacy Practices is also available for you to print and keep. Notice of Privacy Practices (for your personal records)
2. If you need us to release your records or x-rays to another office, you will need to sign our Records Release Form.  Please print below, fill out entirely and bring to one of our offices or email it to office@familysmilespa.com. Records Release Form
3. Tell us a little about yourself! Family Smiles Patient Questionnaire