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Patient Registration

Alvin Smiles / Patient Resources / Patient Registration

You have the choice to complete your registration forms at home or at our office when you come in for your first visit. Completing your forms at home will save you some time. Simply download the forms below, fill them out and bring them along with you to your appointment.

New Patient Registration: ENGLISH  / SPANISH
Medical History: ENGLISH  / SPANISH
Notice OF Privacy Practices: ENGLISH  / SPANISH
Financial Policy: ENGLISH  / SPANISH
Appointment Policy:  ENGLISH  / SPANISH
Informed Consent: ENGLISH  / SPANISH
How Did You Hear About Us: ENGLISH  / SPANISH
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