(860) 263-8544
(860) 263-8544

Patient Forms

New patient? Please download and fill out the following forms when you come in for your first appointment.

Patient Medical History Form

This form is mandatory for new patients. To expedite your visit, print this form, fill it out and bring it with you for your first visit.

Download
Patient Medical History Form - English
New file download
Download
Patient Medical History Form - Spanish
New file download

Privacy Notice

Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy. This form should also be brought to your first appointment.

Download
Privacy Notice - English
New file download
Download
Privacy Notice - Spanish
New file download

Make an Appointment Today!

Call us :

 (860) 263-8544

 

Se Habla Español

 

Smiles Dental

408 New Britain Ave

Hartford, 06106

Fax: (860) 263-8514

Email us : staff@smilesdentalhartford.com

 

Use our contact form to get in touch.

Keep Your Teeth Healthy!

What is the best preventive care for your teeth? Find out how to make your next visit easier and more pleasant.

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