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  • Home
  • Our Practice
    • About Us
    • Meet The Team
    • Patient Reviews
    • Our Office
  • Meet the Doctors
    • Dr. Gard Lorey
    • Dr. Sean Smith
    • Dr. James Wanamaker
  • Dental Services
    • Cosmetic Dentistry
    • Same-Day Crowns
    • Implants
    • Invisalign/Orthodontics
    • Sleep Apnea
    • Preventative
    • Emergency Care
    • Pediactric Dentistry
  • Patient Information
    • Blog
    • Forms
    • Financial & Insurance Information
    • Smile Gallery
    • COVID-19
  • Contact Us
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Smiles of Skaneateles / Patient Information / Forms

Forms

You may access the following forms to assist us with your care. Please print and complete the following forms, and bring them to your appointment.

  • New Patient Welcome Letter
  • Patient Registration
  • Authorization to Release Dental Records
  • Acknowledgement of Receipt of Notice of Privacy Practices - HIPAA
  • School Dental Health Certificate
  • Child Health/Dental History
  • Dental History Form
  • Medical History Form
  • Financial Policy Form

Adobe Reader logo*These forms require Adobe Acrobat Reader. Click the Adobe logo to download.

Smiles of Skaneateles

Our mission is to create an atmosphere that is welcoming, comfortable, and patient-centered.

Contact Us

  • Smiles of Skaneateles - 1579 Cherry Valley Turnpike, Skaneateles, NY 13152 Phone: 315-685-5874 Fax: 315-685-1814 Email: info@smilesofskaneateles.com

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