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R U SMILING DENTAL

Student Dental Plans

forms

To support social distancing and reduce the time patients spend in the office, we have made our forms available online. Please feel free to reach out to us regarding any questions or concerns that you may have. 

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Online  Forms

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NEW PATIENT FORM

After you have been scheduled for an appointment, you will be asked to fill out this form to provide us information regarding your oral health. 

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COVID FORM

Once your appointment is scheduled, you will be asked to fill out this form to assess the type of PPE that will be prepared in advance for your appointment.

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COVID IN-OFFICE FORM

On the day of your appointment, you will be asked to fill out this form prior to entering the office. This form acts as an update to the information you would have already provided in the “COVID Form” submitted beforehand.