Patient Forms
Complete these forms before your visit to save time at check-in.
To help your first appointment go smoothly, you can complete our new patient forms ahead of time. This allows us to spend more time focusing on your care and less time on paperwork.
New Patient Forms
Please complete the following forms before your first visit:
Patient Information Form
Basic contact information, emergency contacts, and personal details.
Medical History Form
Current medications, allergies, and medical conditions that may affect your dental care.
Insurance Information
Dental insurance details and authorization for claims submission.
HIPAA Privacy Notice
Acknowledgment of our privacy practices regarding your health information.
How to Submit Your Forms
Option 1: Complete in Office
Arrive 15 minutes early to complete forms at our office.
Option 2: Email Forms
Request forms by email and return them before your visit.
To request forms via email, contact us at truesmilesbuffalo@gmail.com or call (716) 424-0025.
What to Bring to Your Appointment
- Completed patient forms (if not submitted in advance)
- Photo ID (driver's license or state ID)
- Insurance card (if applicable)
- List of current medications
- Any previous dental X-rays (if available)
Ready to Schedule?
Request your first appointment online or give us a call.