Patient Information

The staff at SmileWell Family Dentistry is committed to providing excellent dental care in a comfortable environment where patients can relax and feel at ease. Here you will find information on what to expect during your first appointment.

COVID Forms

SmileWell Family Dentistry now offers COVID forms to help patients understand the treatment process during the COVID-19 pandemic. This can include going over our PPE, the policies in place, and scheduling a phone consultation to develop a treatment plan. Please access the links below to fill out the consent forms before your appointment.

COVID-19 Patient Disclosures

COVID-19 Patient Disclosures (ADA)

General Forms

Appointment Request Form

Patient Consent Forms

If there is pertinent information you need to share with us, please access the forms below before an appointment. These forms cover your oral health, current condition, medical history, and the reason why you are requesting an appointment.

Authorization For A Minor

Bone Grafting and Barrier Membrane

Clear Aligners

Clear Aligners

Cosmetic Treatment

Crown lengthening

Crowns and Bridges

Denture

Exam Refusal

Extractions

Immediate Denture

Oral Cancer Screening

Oral surgery

Periodontal Disease

Premedication

Pulpotomy

Release of Information

Restorations

Root Canal Therapy

Sealants

Surgical Implant Placement

Whitening