Child Downloadable Forms

To make your visit to our orthodontic office more smooth and efficient, we ask that you complete the following forms below before your scheduled appointment.

  child New patient Forms

For children, please fill out the the appropriate forms below.  When you're done, please bring it to your first orthodontic appointment.

CHILD PATIENT INFORMATION & MEDICAL HISTORY

Great Smiles Medical History Form for Children

 

Click the "Download" button to open the sheet.

Print the sheet, complete, and bring to your first visit.

Download

 

 

RELEASE OF INFORMATION

Great Smiles Release of Information Form for Children

 

Click the "Download" button to open the sheet.

Print the sheet, complete, and bring to your first visit.

Download

 

 

INSURANCE CARD

Great Smiles Insurance Card for Children

 Click the "Download" button to open the sheet.

Print the sheet, complete, and bring to your first visit.

Download

 

All About Me

We want to know what makes you......YOU!  Tell us more about yourself by downloading and filling out the following form.  When you're done, please bring it to your first orthodontic appointment.

All About Me

 

Click the "Download" button to open the sheet.

Print the sheet, complete, and bring to your first visit.

Download

Contact Us

Asheville Office: 828-274-8822
Sylva Office: 828-586-9333
Waynesville Office: 828-407-4034
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

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