Patient Forms
Forms to Complete Prior to Your Child’s Visit
Please complete the relevant online forms prior to your child’s visit
To be completed annually by ALL current patients to keep the medical and demographic information up-to-date.
To be completed for children above age 1 year coming to us for dental concerns, establishing a dental home for regular cleanings as well as Lip Tie and/or Tongue Tie related difficulties such as speech, feeding, sleep , behavioral or dental concerns.
To be completed for babies less than age 1 year coming to us for feeding difficulties.
To be completed for any additional children that are joining our family as dental patients. Please complete this form ONLY if other demographic and financial/insurance information is the same as another child that is already a current patient at Smile Wonders.
Pro Tip #1 Remember to close out of the window after submitting each child’s form.
Pro Tip #2 Please share notes or x-rays from other specialists, care providers or previous dentists to info@smilewonders.com
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