Clayton Smiles - New Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Office Policies Form

Notice of Privacy Practice

Authorization Form

Medical History

Financial Policy Form

Child Registration Form

Adult Registration Form

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


 

Dental Health

Let our dedicated dental professionals help you achieve a smile that you can be proud of!

Testimonials

Testimonials

View More
ACCESSIBILITY