New Patients Forms

Thank you for choosing Smith Smiles Family Dentistry in Indianapolis, IN for your dental needs.
Dr. Heather Smith strive to provide a comfortable environment where you'll feel confident in the level of dental care you receive.

When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment. We will ask you to fill out several forms that will get you acquainted with our office.

 Patient Registration Form

 HIPAA Form

 Financial Form

 Appointment Policy Form

 Notice of Privacy Practices