Patient Forms
Fill out paperwork at home before your first visit. Enjoy convenient, stress-free dental appointments. Choose between several flexible payment options.
Take the Hassle Out of Your Dental Visit With Patient Forms in Surprise
We want your appointments at Great Smiles Dental Care to be easy and enjoyable. To ensure a hassle-free experience, you can fill out our convenient online patient forms in Surprise. Simply download, print, and fill out the forms below before your visit. That way you can avoid all the paperwork of an initial visit.
We’re excited to welcome you to our practice and tell you all about our exceptional dentistry services. Schedule your first visit today by calling us at (623) 933-5749.
All new patient forms in one convenient, fillable PDF. Includes patient information, health history, practice policies, and privacy practices.
Download All FormsBasic contact information, emergency contacts, and dental insurance details.
Download FormFillable medical and dental health history for your dentist to review before treatment.
Download FormOur office policies regarding appointments, cancellations, payments, and patient responsibilities.
Download FormAuthorization to release and discuss your dental information with designated individuals.
Download FormInformation about how your personal health information may be used and your rights under HIPAA.
Download FormQuestions About Your Forms?
If you need help filling out your forms or have questions about your upcoming appointment, our friendly team is here to help. Call us or send a message and we'll get back to you right away.
- Bring completed forms to your first appointment
- Arrive 10-15 minutes early for check-in
- Bring your insurance card and photo ID
- Bring a list of current medications
