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In order to facilitate your wait time, please print and fill out the forms below.  You are also able to email us your completed forms to smilesofwallisville@gmail.com.  Please make sure that if you have a medical condition which requires you to obtain a clearance from your Primary Physician forward them a copy of the Medical Clearance form prior to setting up your dental appointment.

Hippa Notice

Medical Clearance

Medical History

Office Policy

Pt. Registration