New Patient Forms

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Welcome to Smith Dental Care! We are happy that you have chosen us to help keep you smiling brightly. Please print and sign the Consent Form and Financial Agreement, and the HIPPA Privacy Practices. The Medical History and Patient Registration can be filled out below, or printed and brought in. Please call our office at (801) 572-2250 if you have any questions.

Please Fill Out Your Medical History and Patient Registration

Your response will be sent directly to our office.

Patient Form
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Schedule an Appointment

Schedule an Appointment
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