Patient Forms

It is our desire to make your experience at South Shore Smiles as convenient as possible. So, if you would like to download our patient forms and complete them at your leisure, please select from the available forms below. We ask you to fill out these patient forms for a very good reason. The more information we have about you, your teeth, and your lifestyle, the more effectively we can treat you.



When we make your appointment, we are reserving a room and the doctor’s time in order to exceed your expectations. Our individual scheduling is one of the things that make this practice so unique and special for our patients. Our time is solely dedicated to the patient, and you will rarely have to wait. Because of this, however, it is very important that you do not miss your appointment and that you are on time. We understand that emergencies happen and if you must change an appointment, we ask that you give us at least 24 hour notice. This courtesy makes it possible to give your appointment to another patient that may need it. After the second missed appointment, without 24 hour notice, a fee will be applied to your account. Repeated cancellations or missed appointments will result in loss of future appointment privileges.

Need to setup an appointment or have a general question?