Pediatric Dental Forms for Parents

For your convenience we offer our patient forms in one place. Completing the necessary forms before your appointment will save you time. Please call Plano Office Phone Number 972-820-2022 with questions or to make an appointment. Dr. Smith and her staff look forward to meeting you!


New Patients

*Please submit one form for each child*

For Your Review


Please feel free to read our treatment/sedation consents prior to your child’s dental procedure. We are happy to help answer any questions you may have.


Additional Forms