New Patient Forms

Check Out New Patient Forms for Seamless Treatment

For all our new patients, we have designed new patient forms to make their appointments and treatment journey convenient. This will help both our patients and dental specialists offer the best treatment and care. Our forms are easy to understand and fill out. It consists of multiple sections to get all the required information of the patient to start the treatment process.

Smiley Dental

What We Cover In Our Forms?

Medical History and Allergies

Our forms gather vital information about your medical history, current medications, and any allergies you may have. This helps our dental team understand your overall health and tailor treatments accordingly to ensure your safety during procedures.

Dental History

We also prefer documenting your dental history, including past treatments and any ongoing issues. This provides us insights into your oral health needs. This allows the dentist to develop a personalized treatment plan that addresses specific concerns and promotes long-term oral health.

Insurance and Billing Information

Our new patient forms typically include sections for insurance details and billing preferences. We will provide accurate information to ensure the smooth processing of claims and avoid misunderstandings regarding payment responsibilities.

Dentist

Consent and Privacy

Our new patient forms often include consent for treatment and acknowledgment of privacy practices. By filling out the forms and signing these documents, you agree to the clinic’s policies and understand how your personal health information will be handled, ensuring confidentiality and compliance with legal requirements.
Completing new patient forms ahead of time saves time during your visit to our clinic. It allows us to focus on your dental care needs. It also helps establish a productive relationship with your dental team from the outset, promoting effective communication and personalized care.

Download Our New Patient Forms

To download the new patient form from our website, you need to go through the simple process. Visit our official website at www.smileydentalclinic.com and navigate to the “Patient Resources” or “Forms” section. You need to look for the “New Patient Form” download link.
Click on the link to access the form in PDF format. Save the form to your computer or mobile device. Next, print the form and fill it out completely with accurate information. Bring the completed form with you to your first appointment at Smiley Dental Clinic. The forms are also available in our clinic, and you can fill them out on your first visit.

America’s Dentist

Get Assistance to Fill the New Patient Form

Our team at Smiley Dental Clinic is here to assist you in filling out the new patient form. During your visit, we will provide guidance and answer any questions you may have to ensure all sections are completed accurately. Our goal is to make this process straightforward and convenient for you. If you have any concerns or require assistance with the form, please do not hesitate to ask our friendly staff. We look forward to providing exceptional care at Smiley Dental Clinic in Lowell.
We suggest you complete the new patient form in advance. It helps expedite your check-in process and allows our team to better understand your medical history and dental needs. If you have any questions or encounter difficulties accessing the form, please feel free to contact our office for assistance or call us at LOWELL 978-999-9000.

Fill out the form before booking your appointment

Please complete our new patient form before scheduling your appointment at Smiley Dental Clinic. As we have already discussed, our form collects essential information about your medical history, dental concerns, and insurance details, enabling us to better prepare for your visit. When you fill out the form beforehand, it ensures a smoother check-in process and allows our dentist to focus on addressing your dental needs immediately.

FREQUENTLY ASKED QUESTION

To keep your teeth and gums healthy, it is important to schedule regular checkups and dental cleanings. The American Dental Association (ADA) advises adult patients to visit the dentist at least once every six months. Regular dental cleanings remove stains and plaque buildup, preventing the risk of tooth decay and gum disease.

The temporomandibular joints (TMJ) connect the jaw to the skull bone. When these joints are strained, used excessively, or otherwise damaged, pain when moving the jaw or limited jaw mobility may occur. When this happens, patients are said to suffer from TMJ dysfunction or TMD.

We are happy to process and file claims for most major dental insurance providers. We are in-network with a variety of PPO benefit plans and MassHealth.

Yes. Dental decay can occur as soon as children have teeth. Dental decay progresses faster in children, so it is recommended x-rays occur on a regular basis as prescribed by the dentist.

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  • reduces risks of tooth decay and cavities
  • Reduces the risk of gum disease
  • Removes stains
  • Freshens your breath
  • Improves your overall health

Our Location

Call Us

978-999-9000

Our Address

1141 Bridge St, Lowell, MA 01850