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Patient Forms

Patient Forms

You may access the following forms to assist us with your care. Please complete the following forms, and click the "Submit" button at the bottom of each form.

  • Child New Patient Information
  • Adult New Patient Information

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

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Healthy Smile Dental LLC

  • Healthy Smile Dental - 175 Derby St., Unit 34, Hingham, MA 02043 Phone: 781-741-8844

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