Patient Forms

patient forms

Patient Forms

As a new or existing patient with us at Wright Smiles Pediatric Dentistry, you will at times have to fill out forms when you arrive to help us keep our records up to date.

We are located in the back of the Ledgestone office complex by the Coffman YMCA. Guardian/parent is required to be present at first visit.

Links for Online Forms for Current patients:

If the patient is bringing themselves or being brought by their grandparent.