Patient Forms

Paient Forms

Fill out and submit your forms online using the links below for the office where you are seen:

If you prefer to print your forms, please download and print the applicable forms below and bring them with you to your appointment. You may also edit them in .pdf form and email the forms to smile@llsmiling.com.

NEW PATIENT REGISTRATION

UPDATE PATIENT INFORMATION

CHILDREN'S REGISTRATION

FINANCIAL AGREEMENT

You do not need to print the HIPAA form below; you will be asked to sign at your appointment that you have access to our Privacy Policy. You'll always be able to find it here.