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By filling out these forms ahead of time you will save significant time on your visit. If you have any questions when filling out the form, please do the best you can, and our staff will assist you with your questions on the day of your appointment.
The following forms can be filled and submitted online from any device (phone, tablet, laptop or desktop).
At the end use your finger or mouse to sign the forms digitally.
| Online Version |
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| Medical/Dental History |
| COVID-19 Pre-Screening |
The following forms can be downloaded to your computer, please complete the information and bring them with you to your first visit. You may also fill out this electronic forms, save and send the completed PDF files.
| Fillable and Savable PDFs |
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| Medical History Form |
| COVID-10 Pre-Screening |
Blooming Smiles Dental offers the ability to request your dentist appointments online. Schedule an appointment now!
Book OnlineBy filling out the New Patient Forms ahead of time you will save significant time on your visit.
New Patient Forms
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