Forms

Please complete the new patient forms at your convenience prior to your first visit. You may email the completed documents to appointments@kurthsmiles.com prior to your visit, or print and bring them to your first visit. If you choose to email us the forms, please be sure to sign the Patient Authorization for Communication form.

Included in the new patient packet are: Patient Information, Insurance Registration, Health History, Patient Authorization for Communication, Notice of Privacy Practices. 

We look forward to meeting you!

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