New Patient Registration Form
Click for form: Dental Registration and Health History Form
To preregister with Dr.Smudde's Office use this form. It will save you appointment time. Fill in the blocks with the proper information. When completed you can email the form to Dr. Smudde's Office or you can print it and bring it with you on your next appointment. The signature field is left blank so you can sign your name in ink before faxing the form back. Also you could e-mail the form to us and sign it in our office on your next visit.