Smile Loft Dental - New Patient Forms

Patients Forms

Welcome to Smile Loft. Use this page to choose the appropriate Patient Forms to access and download. You may select the practice you want to visit, complete the online form and send to the practice.

New Patient Registration Forms

e-Form

Download

Covid Questionnaire English

e-Form

Download

Covid Questionnaire Spanish

e-Form

Download

If you need assistance completing these forms online, select your location and call our Front Desk.

Select the Location:

Select Your Smile Loft Location

Complete the PDF Form Below