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SmileMD Consent Form

https://drive.google.com/file/d/1Sq7vuCdfYscREZLdvpfwIEJl0-UOiula/view?usp=sharing

Helping Hand Form
https://drive.google.com/file/d/15kpQ5fjxAL6Oh0ynEQ6raMy7XSeVkGnf/view?usp=sharing

Post OP Instructions
https://drive.google.com/file/d/11lbHAA83yK3Y3UoSr1zs7xZ04bCm51pb/view?usp=sharing

Pre OP Instructions
https://drive.google.com/file/d/1hhELZcirU8QTpxqY9URNZGl_o0nch38g/view?usp=sharing

Case Day Binder
https://drive.google.com/file/d/1KXsC6JO7RShlSjSsfY4m8pHDmZdwaUqr/view?usp=sharing

SmileMD Values Your Privacy:

To ensure the security of Patient Personal and Private Health and Financial Information, we provide this Secure Portal to exchange sensitive information between our Patients, Dental Provider Partners and Anesthesia Providers. 

For your convenience, you may login to complete forms, share medical history documents (as requested) and make secure case payments.  

Please do not hesitate to contact us should you have any questions or concerns. All requests made through the portal will be responded to within the next business day.

Thank you for trusting SmileMD as your Safe and Convenient Sedation Provider.

Contact SmileMD:

Phone - 614-420-0646
Secure Fax - 877-807-9547