Forms

We have prepared for you the most frequently needed forms and documentation in a downloadable format, Adobe PDF (Acrobat).

To download a document just click on it's link:

Little Smiles Policies
Patient Registration Form
Privacy Practices (HIPPA)
Recall Form
Medical History Update Form
Records Release Form

Sedation Information
Pre-Sedation Instructions
Post-Sedation Instructions
Consent for Sedation Form
Consent for Nitrous Oxide/Oxygen Use

Post-Extraction Instructions
Stainless Steel Crown Infromation
Space Maintainers Information