Skip to main content

Smiley Dental Beverly

smiley-dental-beverly-form-mobile

Spanish Patient Forms

Name Description
NPP Review our Notice of Privacy Practices to understand how your personal health information is used and protected.
Spanish Complete and Partial Denture Consent Consent form for patients receiving complete or partial dentures, outlining procedure details and expectations.
Spanish Crown and Bridge Consent Provides consent and information regarding crown and bridge procedures, including risks and benefits.
Spanish Endo Consent Consent form for endodontic (root canal) treatment, explaining the procedure and possible complications.
Spanish Extraction Consent Outlines consent for tooth extraction procedures along with associated risks and aftercare instructions.
Spanish General Informed Consent General consent form allowing dental treatments after understanding procedures, risks, and alternatives.
Spanish HIPAA Consent Authorizes the use and disclosure of your health information in accordance with HIPAA regulations.
Spanish Implant Consent Consent form for dental implant procedures, including details about treatment, risks, and expected outcomes.
Spanish Pulpotomy Consent Provides consent for pulpotomy treatment, commonly performed to treat infected or damaged tooth pulp.
Spanish SRP Consent Consent form for Scaling and Root Planing (deep cleaning) procedures to treat gum disease.
Spanish X-ray Release Request Request form to authorize the release and transfer of your dental X-rays to another provider.

Frequently Asked Questions

What forms are available in Spanish on this page?

This page provides our new patient and intake forms in Spanish so Spanish-speaking patients can complete their paperwork comfortably before their visit. 

Completing forms in advance helps your visit go faster, though our bilingual team can also help you fill them out in the office. 

Yes, several members of our Beverly team, including some of our dentists, are fluent in Spanish. 

Call our office at 978-288-1000 and our team will be happy to help in Spanish or English.