Forms

For ALL Patients to use before ANY in-person visit:

COVID-19 Screening Form / Wellness Form 

COVID-19 Consent Form for an In-Person Visit

 

 

For NEW Patients:

New Patient Welcome Medical History Form

Insurance Information Request Form

Referral for dental treatment (Dental Clearance if NOT an existing patient of Smiling Sea Pediatric Dentistry)

 

 

For Patients currently in Treatment

(For Review at Home anytime):

No-No Foods List (for Braces)

Invisalign Teen and Invisalign first - Patient Contract

Elastics Instructions

Retainer Instructions (Essix)

Retainer Instructions (Hawley)

Retainer Instructions (Invisalign)

HIPPA, Privacy Policies