PATIENT FORMS
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Patient Forms
Please print and fill out these forms so we can expedite
your first visit:
YOUR SMILE MAKEOVER
The most important job you have as a member of your own smile makeover team is to communicate exactly what you don’t like about your smile and how you’d like it to be different. Before the first consultation, give some thought to the following questions:
What do you like or dislike about the color, size, shape and spacing of your teeth?
Are you pleased with how much your teeth show, both when you smile and when your lips are relaxed?
Do you want teeth that are perfectly aligned and a bright “Hollywood White,” or would you prefer a more natural look with slight color, shape and shade variations?
Would you like more or less of your gums to show when you smile?
Are you pleased with how much your teeth show, both when you smile and when your lips are relaxed?
Do you want teeth that are perfectly aligned and a bright “Hollywood White,” or would you prefer a more natural look with slight color, shape and shade variations?
Would you like more or less of your gums to show when you smile?
It is extremely helpful for you to bring in pictures you have collected — of smiles you like, smiles you don’t like, and/or photos of the way your own smile used to look, if that’s the result you’re aiming for. Now is the time to get started on creating a smile that will make you feel as good as you look!
Certifications & Professional Memberships
