Forms to complete before your visit

Patient Intake Form

Basic contact and demographic information.

Medical & Dental History

Details on past treatment, medications, and any conditions we should know about.

Insurance Information

Your insurance provider and policy details, if applicable.

Consent & Privacy Forms

Standard treatment consent and HIPAA privacy acknowledgment.

Request Forms by Email

What to bring to your first visit

  • Completed new patient forms (or arrive 15 minutes early to fill them out in-office)
  • A valid photo ID
  • Your insurance card, if applicable
  • A list of current medications
  • Any recent X-rays from a previous dentist

New to BrightSmile?

We'd love to welcome you — book your first visit today.

Book an Appointment