COVID-19 FORMS
In compliance with our local and federal guidance, we are now asked to collect health-related questions prior to your appointment at each visit. Please complete both the COVID-19 Questionnaire and the Informed consent for your office location. All information will be uploaded to the office listed below upon completion.
Pediatric COVID-19 Forms
The Smile Spot Independence
The Smile Spot Springfield
The Smile Spot Waldo
The Smile Spot Independence: 651 E. 24 HWY Independence, MO
INDEPENDENCE PEDIATRIC COVID-19 Required Forms - English
INDEPENDENCE PEDIATRIC COVID-19 Required Forms - Spanish
The Smile Spot Springfield: 1324 E. Montclair Springfield, MO
SPRINGFIELD PEDIATRIC COVID-19 Required Forms - English
SPRINGFIELD PEDIATRIC COVID-19 Required Forms - Spanish
The Smile Spot Waldo: 8043 Wornall Road Kansas City, MO
WALDO PEDIATRIC COVID-19 Required Forms - English
WALDO PEDIATRIC COVID-19 Required Forms - Spanish
Orthodontic COVID-19 Forms
The Smile Spot Independence
The Smile Spot Springfield
The Smile Spot Waldo
The Smile Spot Midtown
The Smile Spot Independence: 651 E. 24 HWY Independence, MO
INDEPENDENCE ORTHO COVID-19 Required Forms - English
INDEPENDENCE ORTHO COVID-19 Required Forms - Spanish
The Smile Spot Springfield: 1324 E. Montclair Springfield, MO
SPRINGFIELD ORTHO COVID-19 Required Forms - English
SPRINGFIELD ORTHO COVID-19 Required Forms - Spanish
The Smile Spot Waldo: 8034 Wornall Road Kansas City, MO
WALDO ORTHO COVID-19 Required Forms - English
WALDO ORTHO COVID-19 Required Forms - Spanish
The Smile Spot Midtown: 3315 Gillham Road Kansas City, MO
MIDTOWN ORTHO COVID-19 Required Forms - English
MIDTOWN ORTHO COVID-19 Required Forms - Spanish