New Patient Forms

Before you visit Beaumont Smile Center, make sure to make a list of questions and concerns you’ll like us to answer. Do remember to bring your dental insurance card with you along with the following forms:

• New patient form
• Medical history form
• Financial policy
• HIPAA
• Informed consent for nitrous oxide-oxygen
• Handle me with care form
• Questionnaire for children
• HIPAA Notice of Privacy