At Pro Smile Dental Care, we look forward to welcoming you, meeting your family, and offering you the high quality you deserve. If you are a new patient, on your first visiting to our office you will be required to fill a couple of forms before we can begin treating you or your family members. To help the process run as smooth as possible, please take a moment to print and fill out our New Patient Registration Form. Making sure this form is filled out prior to visiting our office helps to ensure that you have time to obtain all the necessary information we need to treat you, without the rush of trying to locate an insurance card, or a piece of important medical history moments before your appointment is set to begin.
For New Patients
New Patient Registration Form – (PDF Download)
If you have any questions regarding the New Patient Registration Form, accepted insurances, payment methods, our procedures, or would like to make an appointment, please give Pro Smile Dental Care a call at (925) 866-1777.