Dental Patient Information Forms
We warmly welcome you to Smithfield Dental. In advance of your next appointment, we respectfully ask that you print and mail (or fax) both the “Patient Information” and the “Health History Update” forms. This will help us limit your wait time at your upcoming appointment.
Simply click the two links below and you will be presented with forms that you can print. As always, if questions, please feel free to call.
Click Here for Patient Information
"If the form's font is too small to read, click anywhere on the form to enlarge the view"
Click Here for Health History
"If the form's font is too small to read, click anywhere on the form to enlarge the view"




