For your convenience, your new patient paperwork can be accessed online and completed right on the screen. Simply follow the links below to our secure server, complete the forms on the screen and submit. If you should have any difficulty completing these online forms, please call our office and a SLO Smiles staff member will be happy to assist you.
Complete New Patient Forms are important to the success of your first visit and are required before your appointment day. Please complete them as soon as possible by following the links below. Some are required, some are optional, as noted. If we have not received your patient forms ahead of time, your appointment will be rescheduled.
If you have any questions prior to your first visit, please visit our New Patient FAQ page, or call us at (805) 541-0550.
Insurance Information: As a new patient, if you have dental insurance, you must complete this form. If you have had a change of insurance, you can use this form as well! All insurance information must be in place ahead of your new patient visit to be used that day. Please call the office if you need assistance!
Authorization to Release Records: Permission to talk to another about your care here. This is required for adult children when parents want to be involved in care and accounting.
Sleep Apnea Questionnaire: For new or established patients who are having symptoms of or wish to be screened for sleep apnea.
Medical History Update: For returning patients who haven’t been in for a while or have had changes to their overall health.
Notice of Privacy Practices
Direct and Indirect Restorative Materials