Patient Forms
Simply click on the link for each form to download and print.
- New Patient Forms
- Financial Policy & Payment Options Form
- Notice of Privacy Practices & Acknowledgement of Receipt
- Patient Instructions
- Informed Consent Forms
New Patient Forms
Download your New Patient Forms here!
We want to make your appointment at Bravo Smile convenient and comfortable. That's why we provide these downloadable forms for you to complete before you visit us, in the comfort of your home or office. These forms are needed before we are able to begin improving the health and appearance of your smile. The information you provide also helps us bill your insurance company. *All 5 of these forms are necessary for your first visit.
Financial Policy and Payment Options for our Patients Form
We believe it is important not only to provide the highest quality dental care to our patients, but also to help make this care affordable. Please feel free to ask us any questions you may have regarding our financial options.
*Financial Policy & Payment Options for our Patients Form
Notice of Privacy Practices and Acknowledgement of Receipt Forms
Notices required by law informing you of our office's privacy practices. Also Acknowledgement of Receipt Form.
*Acknowledgement of Receipt of Notice of Privacy Practices
Additional Forms
Patient Instructions
We want to make sure when you've finished your procedure, you go home knowing how to care for your teeth and prevent any undue discomfort.
Caring for your Temporary Crown or Filling
Instructions Following Periodontal Therapy
Instructions Following Oral Surgery (Extractions)
Page TopInformed Consent Forms
We want to make sure you fully understand the procedures we have recommended for you. You have a right to this information to make the choices appropriate for you!
Consent for Periodontal Scaling & Root Planing
Consent for Removal of Amalgam Fillings