New Patients

New Patient Forms

If you are a new patient then we are very happy that you decided to contact us and are excited to meet with you. For your convenience, there are a few different ways for you to complete the new patient forms. You may fill them digitally using Adobe® and e-mail them to us directly; You may print them off and bring the paper copy with you to your first appointment; Or you may print them off and mail them to our office using the mailing service of your choice.

If you are transferring your dental records, including x-rays, please be sure to print off, complete, and submit your “Authorization To Release Dental Records” form to your previous dental office well in advance of your first appointment at ROC Smiles. This will give your previous dental office the appropriate amount of time to provide documents, such as x-rays, that are important for your discussions with your new provider at our office.

 

Printable Forms

If you will be printing off the forms to bring with you to your first appointment, please save, print and fill out this file:

New Patient Packet (Printable)

Additionally, please read this NOTICE OF PRIVACY PRACTICES as you will need to sign an Acknowledgement form found in your New Patient Packet

 

Digital Forms

If you will be filling these forms out online and e-mailing the completed forms to us, please save and e-mail this document to ROC Smiles

New Patient Packet v1 (Fill and E-mail)

Additionally, please read this NOTICE OF PRIVACY PRACTICES as you will need to sign an Acknowledgement form found in your New Patient Packet

 

Be sure and remember to print and submit the ‘Authorization To Release Dental Records’ to your previous dentist as soon as possible if you are switching to ROC Smiles as your new dental provider.

Authorization To Release Dental Records

 

 

Helpful Links

Here are links to some websites that you may find useful in learning more about your teeth and dentistry in general.

 

AACDADA

AAP

Clear Correct

AAO

 

CDA

Invisalign