Patient Forms, Map and Directions to Moberly Office
Your first visit to Smile Dental establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Please print and fill out these forms so we can expedite your first visit:
- Verification of Patient Information
- HIPAA Consent for Minor
- HIPAA Consent
- Medical History Main Report
- Records Release
- Financial Policy
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
What To Expect
Being well prepared for your appointment will ensure that the Dr has all the needed information to provide the best possible care. This will also include a thorough exam for future treatment needs as well as the proper cleaning you personally require. Teeth cleanings are not normally performed at your first visit as we want to provide the hygienist the proper time needed to serve your individual needs. Once this is determined, finances will be discussed with our Financial Coordinator and appointments will be scheduled to accommodate you the best we can.
Feel free to educate yourself by reviewing the content on our website, as well as our staff page to familiarize yourself with our providers. We look forward to meeting you.