Please take a minute to print and complete the forms below: the Registration Form, the Health Form and the Financial Policy & Notice of Privacy Practices. Completing these forms will help expedite your visit to Growing Smiles. If you are unable to complete before the appointment, no worries – we will provide these forms to you at the office. Just please make sure to arrive a few minutes early!
Health History Form
Financial Policy & Notice of Privacy Practices
Medical Consent Form
COVID-19 Consent Form
HIPAA Privacy Rights
Growing Smiles LLC is a covered entity under the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Growing Smiles LLC maintains a separate Notice of Privacy Practices (HIPAA) as required by law, which applies to all protected personal health information (PHI) that is collected from individuals. Please view and / or download our statement in English or Spanish.