Request an Appointment
No insurance? Join our membership club
Request an Appointment
No insurance? Join our membership club


Midtowne Smiles

PATIENT FORMS

Welcome to the Family

Midtowne Smiles looks forward to meeting you and discussing your dental goals. We strive to keep our appointments on time and running as efficiently as possible.

Prior to your appointment, we encourage you to fill out the patient forms that are linked below so that you can accelerate your check-in process.

Patient Registration

Download Form

HIPAA Privacy

Download Form


If you have any questions regarding our services, patient information, insurances or would like to schedule an appointment, contact us or call us at (616) 784 9150.