Patient Information Forms

Your first visit to Den-Care Smile Center establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, such as your medical history and insurance information as well as give you ample time to get to know your doctor.

At Den-Care Smile Center we value your time and your privacy. That’s why we’ve provided copies of our new patient information forms for you to download, print, and complete at home in advance of your appointment.


New Patient Form

You may bring these forms into our office during your next visit. They will not be stored or sent online, but are offered here simply for your convenience. Den-care Smile Center follows Federal HIPAA requirements for maintaining patient privacy and healthcare portability.

In order to view or print these forms you will need Adobe Acrobat Reader – Click here to download now.

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Website. Also, take some time to review our staff page and familiarize yourself with the doctors – We look forward to your first visit.

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8:00 am-5:00 pm


8:00 am-3:00 pm