Patient Forms
Dentist in Frederick, MD
At Family Smile Center, we understand that your time is valuable. To save you some time during your first visit with Dr. Dinh, we have provided our new patient forms here. Simply click on the links below to download our forms and complete them before your first appointment with our dentist. We have also provided some of our other office forms to provide you with the information you need and help you feel prepared for your visits to our practice. If you need assistance, please do not hesitate to contact our friendly team today. We are glad to assist you!
Online Form
CONSENT Forms
Consent for Surgery
Consent for Implants
Consent for Root Canal
N2O Consent and Disclaimer
New Patient Forms
About Financial Arrangement
New Patient Form
Pediatric New Patient Form
Notice of Privacy Practices
Ortho Appliance Forms
Bionator
Halb Holding Arch Lip Bumper
Sagital Appliance
Schwarz Plate
Other Office Documents
About Warranties
FSC Brochure
Get Things Straight
Post Op Instructions
Gum Graft
Instructions Following Oral Surgery
Instructions Following Scrp Lavender
Post OP Final Crown
Post OP Root Canal
Post OP Temporary Inlay
Temporary Crown post OP
Waiver Forms
Waiver for Cleaning and Exam
Waiver for Cleaning and X-Ray
Waiver for Premedication
