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Patient Forms

If you are a new patient to our Smyrna dental office, the forms below will need to be filled out when you arrive for your first appointment in our dental office. Printing them, filling them out, and bringing them with you will allow us to attend to your dental needs more quickly than completing them on your arrival.  Thank you and please call our dental office if you have any questions or need any assistance. 

Online Patient Portal:

Patient Log In

New Patient Forms(First Time Patients)

Print & Download Forms:

Patient Information

Medical Health History

Privacy Notice

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Office Location

  • Smyrna
  • 4450 South Cobb Drive, SE
  • Smyrna , GA
  • 30080
  • Map & Directions
  • Call: 770-433-1515