Smile Brite Dental
Smile Brite Dental front desk
New Patients

Patient Forms

Save time at your first appointment by completing your paperwork in advance.

Before your visit

Save Time At Your Appointment By Being Prepared

Open and complete the forms below before your visit. If you prefer, arrive 15 minutes early and our team will help you fill them out in the office.

New Patient Form

Personal information, dental and medical history.

View Form

Financial Policy

Our payment terms, insurance billing, and balance policy.

View Form

Health Care Authorization Form

Authorization for treatment and release of dental records.

View Form

Informed Consent for Dental Treatment

Review and acknowledge dental treatment consent.

View Form

HIPAA Privacy Acknowledgement

Acknowledge receipt of our privacy practices notice.

View Form

Patient Health History

Detailed medical history form for our clinical team.

View Form

Arrive 15 Minutes Early

If you didn't fill out forms ahead of time.

Bring Insurance & ID

Photo ID and dental insurance card if applicable.

Questions?

Call (702) 248-2748

Call NowBook Appointment