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Smile Station Family Dentistry

New Patient Packet

Please find our new patient packet below. You can print and fill these forms out, and bring them with you prior to the next appointment. 

New Patient Packet

The packet includes an informed consent for examinations and diagnoses, a medical history questionnaire, dental history questionnaire, and a notice of privacy practices. Please call us at (270) 408-1234 if you have any questions prior to your next appointment.

Have Questions? Get in Touch
If you have difficulty using our website, please email us or call us at (270) 408-1234
View the ADA Accessibility Statement