Smile Wide Dental

Patient Forms

We are a "Green" organization, therefore, we strive to be a paperless one as well, so we highly encourage everyone to complete our forms online. If you have an appointment scheduled, please complete our secure online form to save time and paper by selecting the corresponding location in the drop down below. 


To download printable forms, please click the appropriate health history form below and bring with you to your appointment. 

Patient Information

Health History Form

Dental History Form


NOTE: All of the printable forms require Adobe Reader to view. Get Adobe Reader free.