Patient Forms

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“Everyone here is very friendly and comforting 😊…I can’t thank them enough for putting up with me … highly recommend to anyone that’s afraid of the dentist..she is awesome..thanks so much ❤️.”
- Amber Pagano
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“The place is best. Dr. MILLER is very relatable and so professional. Special shout out to all her assistants that are so kind and nice.They also know how to handle your teeth with minimal pain as possible.”
- maximillian rex
Save some time with your initial visit by helping us collect some preliminary information.  Once we receive your introduction form we will be in contact to finalize any additional details.

New Patient Intake Form

New to Super Smiles Dental? Get a jump start on your appointment by saving and printing the forms listed below.

Request an Appointment