Skip to content
Birmingham, AL | Cosmetic & General Dentistry
(205) 967-9100   |   Follow  

New Patient Forms

Streamline Your First Visit with Ease

New Patient Forms for a Faster, Smooth First Visit

To ensure your first visit is as smooth and efficient as possible, we kindly ask all new patients to complete our New Patient Forms in advance. These forms provide us with vital information about your dental history, health information privacy preferences, and more, enabling us to tailor our care to meet your needs.

By filling out the New Patient History Form, HIPAA Consent Form, and TMJ Screening History before your appointment, you help us prepare for your visit and dedicate more time to your dental care and less to paperwork.

You may submit these forms prior to your visit at appointments@greatsmilesbirmingham.com or by fax to (205) 967-3032.

Get In Touch

Ready to Join the Great Smiles Family?

Begin your journey to a healthier, happier smile today by downloading and completing our New Patient Forms. If you have any questions or need assistance, don’t hesitate to reach out. Our team is here to support you every step of the way. Welcome to Maniscalco Cosmetic & General Dentistry—we can’t wait to meet you!

Name
This field is for validation purposes and should be left unchanged.

Book Now     (205) 967-9100