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

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 

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