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New Patient Forms
New Patient Forms
The Smile Spot Online New Patient Forms
Click to complete the new patient online forms for the office of your choice. Complete our new patient forms below before you come in for your visit to reduce time spent in the office! Please complete all pages of each form.
The Smile Spot Springfield
Click the link to go to the corresponding New Patient Forms
Orthodontic Forms
Pediatric Forms
English Pediatric New Patient Forms
The Smile Spot Springfield
New Patient Forms
1324 E. Montclair Street Springfield, MO
If you are a patient of The Smile Spot Springfield, please choose either Pediatric or Orthodontic Forms. If you are an orthodontic patient please make sure to fill out either the adult or child forms based on the age of the patient.
For questions call 417-886-9939
or email s1info@thesmilespot.com.
The Smile Spot Independence
Click the link to go to the corresponding New Patient Forms
Orthodontic Forms
Pediatric Forms
The Smile Spot Independence
New Patient Forms
651 E US Hwy 24, Independence, MO 64050
If you are a patient of The Smile Spot Independence, please choose either Pediatric or Orthodontic Forms. If you are an orthodontic patient please make sure to fill out either the adult or child forms based on the age of the patient.
For questions call 816-461-0300
or email independencebraces@thesmilespot.com.
The Smile Spot Waldo
Click the link to go to the corresponding New Patient Forms
Orthodontic Forms
Child (under 18) English
Child (under 18) Spanish
Adult (over 18) English
Adult (over 18) Spanish
Pediatric Forms
English Pediatric New Patient Forms:
Spanish Pediatric New Patient Forms
The Smile Spot Waldo
New Patient Forms
8043 Wornall Rd, Kansas City, MO 64114
If you are a patient of The Smile Spot Waldo, please choose either Pediatric or Orthodontic Forms. If you are an orthodontic patient please make sure to fill out either the adult or child forms based on the age of the patient. For questions call 816-363-2900 or email waldobraces@thesmilespot.com.
The Smile Spot Midtown
Click the link to go to the corresponding New Patient Forms
Orthodontic Forms
The Smile Spot Midtown
New Patient Forms
3315 Gillham Plaza Rd, Kansas City, MO 64109
If you are a patient of The Smile Spot Midtown, please complete the Orthodontic Forms. Please make sure to fill out either the adult or child forms based on the age of the patient.
For questions call 816-756-2273
or email midtownbraces@thesmilespot.com.
If you have questions or need additional assistance please contact your local Smile Spot office.
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