At Smiles By Mia, we want you to be able to focus on your dental health needs during your visit with us- instead of the paperwork! Below are our required patient forms so that you can print and complete them in the comfort of home prior to your visit. If you need assistance or prefer to complete them in our office, we ask that you arrive a few minutes early. We are happy to assist you if you have questions.
Printable
- Full New Patient Form Package
- New Patient Letter
- Financial Policy Forms
- New Patient Registration
- Medical History
- HIPPA
- Lumineers Smile Evaluation
- Dental History English
- Dental History Spanish
- Patient Photo Release