Patient Forms

Please find the patient forms below to help expedite your visit. If you have any questions, feel free to call, text, or us. We're here to assist you!

New Patient Forms

To make your visit as smooth as possible, please find the patient forms available for download and printing. We kindly ask that you fill them out prior to your appointment. This will help us streamline the check-in process and ensure we have all the necessary information to provide you with the best care.

Your privacy matters to us. Please see our printable Privacy Policy to learn how we safeguard your personal health information in full compliance with HIPAA regulations.

Records Release

Please note that whether you are a new or current patient, if you choose to have your records transferred, kindly print the records release form. Once filled out, please email it to: info@smilesofportorange.com

We will be happy to assist you with the process.