Online Forms

Online Patient Forms

For your convenience, new patients are encouraged to complete their registration forms online before their appointment. Simply click the button below to get started.

Complete New Patient Registration Forms Online

Patient Login

Already have a patient account? Access the patient portal using the link below.

Patient Login

Prefer to Complete Forms by Hand?

If you would rather fill out your forms by hand, you can download and print the following documents. Please complete them before your appointment and bring them with you.

If you do not have AdobeReader® installed on your computer, Click Here To Download.

Visit Our Santa Clara Dental Office

The Smile Company

3555 Monroe Street, Suite 50, Santa Clara, CA 95051

(408) 320-1487
Call Us Appointments

Accessibility Tools

Increase TextIncrease Text
Decrease TextDecrease Text
GrayscaleGrayscale
Invert Colors
Readable FontReadable Font
Reset