Patient Forms
Downloadable patient forms that you can print and fill out before your next visit to The Smile Center in White House.
We like to make things easy for our patients, which is why we have provided downloadable PDFs of our most common patient forms. To save you time on your next visit to our White House dental office, feel free to print and fill out the appropriate forms. We look forward to seeing you soon.
Downloadable Forms
- Patient Registration [PDF]
- Financial Policy [PDF]
- HIPPA compliance Patient Consent Form
- Cancellation letter