New Patient Forms


We want to welcome you to the Bright Smile family!

To help make your first visit as smooth and efficient as possible, we invite you to download and complete our new patient registration forms in advance.

Simply print and fill out the forms at your convenience, and bring them with you to your scheduled appointment.

Adult Registration Form

For patients 18 years and older.

Please bring the completed form to your appointment.

Download Adult Form

Child Registration Form

For patients under the age of 18.

Please bring the completed form to your appointment.

Download Child Form

If you have any questions while filling out the forms, feel free to give us a call—we're happy to help!

Contact Us