Please click on the appropriate SmilesRForever office to access your new patient paperwork. The link will take you to a new window where you must input your name and appointment date to obtain access to the appropriate documents. We are delighted to welcome you to our practice and are pleased that you chose us to help you change your smile!

Waterloo Office: New Patient Paperwork

Cahokia Office: New Patient Paperwork

Please read our Notice of Privacy Practices to learn how health information about you may be used and disclosed and how you can get access to this information. The privacy of your health information is important to us.