New Patient Forms

If you are new to our office, welcome!

View Patient Forms
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New Patient First Steps

Get Started Below

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

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 Records Release Form
  3. Tell us a little about yourself! Family Smiles Patient Questionnaire

Fast, Friendly Service, Exceptional Care

Your smile is your first impression, and having a beautiful smile builds your confidence and self-esteem. Family Smiles helps you keep your smile beautiful with services from semi-annual cleanings to restorative dentistry. See how amazing you can feel with a beautiful smile!

Meet Our Team

Make an Appointment Today

Family Smiles Dentistry serving smiles in Hanover and Littlestown

Make an Appointment

Save big on KOR Whitening Service — only $494 through Mar 31!

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