Patient Forms

We have provided our patient forms online to save you time in our office, and we invite you to fill them out before you visit Smiles Family Dental. Please feel free to call us at 972-346-1100 if you have any questions or to set up an appointment with Dr. Angelie Zamora, Dr. Pauline Nguyen or Dr. Jennifer Mink, our experienced dentists in Flower Mound, Texas.

View Patient Form

Dental Insurance Form

Medical Hstory Adult

Patient Information Form

HIPAA Acknowledgement Form

Model Release Form