New Patient Forms

Welcoming Our New Patients in Beverly To Fill Forms to Start Their Dental Care Journey!

At our dental clinic in Beverly, we are committed to providing you with exceptional dental care for every patient, both old and new. To ensure that the patient’s first visit is as smooth and efficient as possible, we kindly ask and assist them in completing the following new patient forms. At Smiley Dental, the patient’s health and comfort are our top priorities. Hence, the information they provide us helps to tailor our care and treatment to meet your specific needs.

Professional Dental Services
Smiley Dental Beverly

Here’s Why We Ask Patients to Fill Forms

Filling out a new patient form at a dental clinic is crucial for both specialists and patients. The forms provide essential information about the patient’s medical history, including allergies, current medications, and past surgeries, which are vital for ensuring safe and effective dental treatment.

This information helps our dentists to tailor their approach and treatment plan to the specific needs and health considerations of the patient.It also minimizes risks and ensures optimal oral care. Also, new patient forms include questions about dental history and specific concerns the patient may have about their oral health. This allows our specialists to understand the patient’s priorities and address any existing dental issues comprehensively during the initial consultation.

New patient forms also include contact details and insurance information, which are necessary for our administrative purposes and billing to provide the patient with the necessary coverage. Having accurate information ensures smooth communication between the clinic and the patient regarding appointments, follow-ups, and any necessary referrals.

So, completing a new patient form goes beyond a procedural step. It is the cornerstone for building trust and fostering clear communication between patients and the dental team. By providing comprehensive medical history, including allergies, medications, and past surgeries, these forms ensure tailored care that considers each patient’s unique dental needs. Thus, completing a new patient form plays a vital role in ensuring personalized and high-quality dental care right from the start.

Go Through Our Patient Information Form

Our form collects essential details about the patient, including name, date of birth, address, contact information, and preferred method of communication. We also request emergency contact information to ensure we can reach any of your family members in case of emergency.

Medical History Form and Dental Insurance Information. If you have dental insurance, please provide us with your insurance provider’s details, policy number, and the insurer’s information in the form. This allows us to verify your coverage and facilitate the processing of insurance claims on your behalf.
Your medical history is crucial for us to understand the overall health conditions that may impact your dental care. Please inform us about any medical conditions, medications you are currently taking, allergies, and the name and contact information of your primary care physician.

Oral Health Service

Check Out the Financial Agreement and Appointment Policy

This section outlines our financial policies and responsibilities. It includes information about payment expectations, insurance coverage, and any financial arrangements that may need to be made. We strive to provide transparent pricing and ensure that our patients understand the financial aspects.
We value your time and aim to maintain an efficient schedule for all our patients. Please review and acknowledge our appointment policy, which includes our cancellation policy and expectations regarding our service.
Once you have completed the new patient forms, submit them online or at our office on arrival for your appointment. If you have any questions or need assistance while filling out the forms, the team is available during working hours to help you. Consult our Beverly team today to fill out the form!

Dental History Details on the Form

To better address your dental needs, please share details about your previous dental treatments and any ongoing concerns or symptoms you may be experiencing on the form. This helps our dentist to create a personalized treatment plan that aligns with your dental health goals.

Our Location

Our Address

45 Dodge St, Beverly, MA 01915