New Patients Are Always Welcome!

Perfect Smile Maker wants to help you keep your teeth healthy for a lifetime.
Contact us today, and we will find a convenient time to schedule your appointment.

We gladly accept:

New Patient Forms

In our continuous effort to keep our practice modern, we have updated to an electronic medical records system. This means nearly all of our new patient forms can be filled out online. This increases the accuracy of the information in our system, saves time and the environment all at once.

Please complete the forms below, switching between them using the panel on the left. When you have finished, click the submit button (also located on the panel on the left). The forms then go directly to our secure database – there is no need to print them.

Send a message to the Doctor!