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COVID-19 FORMS

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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

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The Smile Spot Independence

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The Smile Spot Springfield

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The Smile Spot Waldo

The Smile Spot Independence: 651 E. 24 HWY Independence, MO

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INDEPENDENCE PEDIATRIC COVID-19 Required Forms - English 

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INDEPENDENCE PEDIATRIC COVID-19 Required Forms - Spanish 

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The Smile Spot Springfield: 1324 E. Montclair Springfield, MO

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SPRINGFIELD PEDIATRIC COVID-19 Required Forms - English 

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SPRINGFIELD PEDIATRIC COVID-19 Required Forms - Spanish 

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The Smile Spot Waldo: 8043 Wornall Road Kansas City, MO

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WALDO PEDIATRIC COVID-19 Required Forms - English 

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WALDO PEDIATRIC COVID-19 Required Forms - Spanish 

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Orthodontic COVID-19 Forms

The Smile Spot Independence

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The Smile Spot Springfield

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The Smile Spot Waldo

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The Smile Spot Midtown

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The Smile Spot Independence: 651 E. 24 HWY Independence, MO

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INDEPENDENCE ORTHO COVID-19 Required Forms - English 

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INDEPENDENCE ORTHO COVID-19 Required Forms - Spanish   

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The Smile Spot Springfield: 1324 E. Montclair Springfield, MO

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SPRINGFIELD ORTHO COVID-19 Required Forms - English 

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SPRINGFIELD ORTHO COVID-19 Required Forms - Spanish 

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The Smile Spot Waldo: 8034 Wornall Road Kansas City, MO 

 

WALDO ORTHO COVID-19 Required Forms - English 

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WALDO ORTHO COVID-19 Required Forms - Spanish 

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The Smile Spot Midtown: 3315 Gillham Road Kansas City, MO 

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MIDTOWN ORTHO COVID-19 Required Forms - English 

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MIDTOWN ORTHO COVID-19 Required Forms - Spanish 

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